| Sultana Faiyaz Corporation, Llc | |
|
4208 Amberleaf Walk Lilburn GA 30047-3157 | |
| (937) 344-9061 | |
| Not Available |
| Full Name | Sultana Faiyaz Corporation, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4208 Amberleaf Walk, Lilburn, Georgia |
| Authorized Official Name and Position | Syed Atif Ali (CONSULTANT) |
| Authorized Official Contact | 7709102377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sultana Faiyaz Corporation, Llc 4208 Amberleaf Walk Lilburn GA 30047-3157 Ph: () - | Sultana Faiyaz Corporation, Llc 4208 Amberleaf Walk Lilburn GA 30047-3157 Ph: (937) 344-9061 |
| NPI Number | 1063925543 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063925543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 075784 (Georgia) | Primary |
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