Malik Hall
Homemaker in Mcdonough, GA. Individual provider (NPI-1).
NPI number1831949460
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1831949460
- Entity type
- Individual (NPI-1)
- Name
- Malik Hall
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2024
- Certification date
- Mar 26, 2024
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | GA | Yes |
Practice location
2086 Jodeco Rd # 1169Mcdonough, GA 30253-5220
Phone 888-508-5666
Mailing address
8414 Appleton TrlColorado Springs, CO 80925-9602
Phone 888-508-5666 · Fax 888-501-1176
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