MEDICARE: DR. ALBERT FARAH JOHARY SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	034862	GA

General Provider Information

NPI Number	:	1194723502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT FARAH JOHARY SR. M.D.

Provider Business Mailing Address
First Line	:	1320 CENTER DR
Second Line	:	SUITE 100
City	:	DUNWOODY
State	:	GA
Zip	:	30338-4130
Country	:	US
Telephone Number	:	770-936-0900
Fax Number	:	770-455-6587

Provider Business Practice Location Address
First Line	:	1320 CENTER DR
Second Line	:	SUITE 100
City	:	DUNWOODY
State	:	GA
Zip	:	30338-4130
Country	:	US
Telephone Number	:	770-730-8908
Fax Number	:	770-455-6587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	05/18/2023

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