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DR. OMAR FARUK AHMAD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1972965226
Individual Registrant:DR. OMAR FARUK AHMAD
Gender: M
Not Sole Proprietor
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
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
Tel: 478-474-5600 Fax: 478-471-6769
Registration Information:
NPI: 1972965226
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 83079 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
