# TEMPLE MEDHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346893799
- **Authorized official:** MRS. BRANDERLY MALIWA NP (OWNER)
- **Authorized official phone:** (765) 326-0148

## Contact information

- **Practice address:** 503 MAIN ST, VILLA RICA, GA 30180-1931
- **Practice address phone:** (770) 462-1170
- **Mailing address:** 503 MAIN ST, VILLA RICA, GA 30180-1931
- **Mailing address phone:** (770) 462-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 07/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447790530 | — | GA |