Individual
MS. MARISA LEIGH MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
5539 LAKESHORE RD, BUFORD, GA 30518-1348
(770) 366-5418
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10713
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
02/06/2021
Last updated
08/06/2023
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