Fozi Abdulahi
Individual provider Active NPI Pharmacist · Martinez, GA
NPI 1972886752 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1972886752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH020999 (GA)
- Practice address
- 3900 Washington Rd
Martinez, GA 30907-2322 - Phone
- (706) 868-8084
- Fax
- (706) 868-8059
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH020999 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH020999 | GA | Yes |
Addresses
Primary practice location
3900 Washington Rd
Martinez, GA 30907-2322
Mailing address
4974 Oak Leaf Ter
Stone Mountain, GA 30087-3200
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.