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HAZIM A. FARISI MD PC NPI 1801078001


NPI Information

NPI: 1801078001
Provider Name: HAZIM A. FARISI MD PC

Doing Business As: FRIENDSHIP CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4965 FRIENDSHIP RD
SUITE 103
BUFORD, GA
ZIP 30518
Phone: (678) 714-5692
Get Directions

HAZIM A. FARISI MD PC is a general practice in Buford, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HAZIM A. FARISI MD PC NPI is 1801078001. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Friendship Clinic.

The provider's business location address is:

4965 FRIENDSHIP RD
SUITE 103
BUFORD, GA
ZIP 30518-700
Phone: (678) 714-5692
Fax: (678) 714-5693

The provider's authorized official is Mary Farisi .
The authorized official title is Office Manager and has the following contact phone number (678) 714-5692.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 8/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice016201GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100457168CMEDICAIDGEORGIA
21700938123OTHERGEORGIAINDIVIDUAL NPI
308BBWXCMEDICARE PIN
4GRP4668OTHERGEORGIAGROUP PIN
5D09720MEDICARE UPINGEORGIA
61801078001OTHERGEORGIAGROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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