person
Malika Durham
Prosthetics Case Management in Tucker, Georgia
NPI 1548796279

Malika Durham is a Prosthetics Case Management based in Stone Mountain, GA and is specialized in Prosthetics Case Management. Malika Durham practices in Tucker, GA. The NPI Number for Malika Durham is 1548796279 and holds a License No. C0112215 (Georgia).

The current practice location address for Malika Durham is 1880 Mountain Industrial Blvd, Tucker, GA and can be reached out via phone at 678-557-7484.

Location: 1880 Mountain Industrial Blvd, Tucker, GA, 30083-1855
person
Provider Profile Details
NPI Number
1548796279
Provider Name
Malika Durham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1880 Mountain Industrial Blvd, Tucker, GA, 30083-1855
Phone Number
678-557-7484
Fax Number
Provider Enumeration Date
05/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1880 Mountain Industrial Blvd
City
State
Zip
30084-6659
Phone Number
678-557-7484
Fax Number
person
Provider Business Mailing Address Details
Address
1880 Mountain Industrial Blvd
City
State
Zip
30084-6659
Phone Number
678-557-7484
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
C0112215 (Georgia)
Definition
Definition to come...
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