Healthcare Provider Details

I. General information

NPI: 1093648396
Provider Name (Legal Business Name): FAIZAH AZHAR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 STANYAN PL
ALPHARETTA GA
30022-8202
US

IV. Provider business mailing address

325 STANYAN PL
ALPHARETTA GA
30022-8202
US

V. Phone/Fax

Practice location:
  • Phone: 404-992-1175
  • Fax:
Mailing address:
  • Phone: 404-992-1175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066702
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: