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DR. OMAR FARUK AHMAD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1972965226

Individual Registrant:
DR. OMAR FARUK AHMAD 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3400 RIVERSIDE DRVIE  MACON, GA 31210 US
Tel: 478-474-5600  Fax: 478-471-6769

Contact information for business:
3400 RIVERSIDE DRVIE  MACON, GA 31210 US
Tel: 478-474-5600  Fax: 478-471-6769

Registration Information:
NPI: 1972965226
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA83079

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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