| Doctor Name: | DR. HAZIM A FARISI |
| NPI Number: | 1700938123 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 016201 |
| Business Practice Address: | 4965 Friendship Rd St 103 Buford, GA - 305181700 |
| Business Phone Number: | 6787145692 |
| Business Fax Number: | 6787145693 |
| Mailing Address: | 4965 Friendship Rd, St 103 BUFORD |
| State: | GA |
| Postal Code: | 305181700 |
| Phone Number: | 6787145692 |
| Fax Number: | 6787145693 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 10/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 016201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |