Individual provider · Type 1 NPI
Farah A. Fatani, MD
Primary Care Clinic/Center · Lawrenceville, GA
NPI number
1194457796
Active
Practice location
5415 Sugarloaf Pkwy 1108, #5853
Lawrenceville, GA 30043
Mailing address
722 Collins Hill Rd Ste H
Lawrenceville, GA 30046-4147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1194457796
Farah A. Fatani, MD's National Provider Identifier is 1194457796, issued on Jun 30, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 14, 2022.