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FARAZ F ALWANI M.D.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1104352921
Individual Registrant: FARAZ F ALWANI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
81 NORTHSIDE DAWSON DR STE 100A DAWSONVILLE, GA 30534-7166 US
Tel: 706-216-6000 Fax: 706-216-6010
Tel: 706-216-6000 Fax: 706-216-6010
Contact information for business:
81 NORTHSIDE DAWSON DR STE 100A DAWSONVILLE, GA 30534-7166 US
Tel: 706-216-6000 Fax: 706-216-6010
Tel: 706-216-6000 Fax: 706-216-6010
Registration Information:
NPI: 1104352921
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 85924 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
