Individual
NINA MALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5038 GREENWOOD DR, DOUGLASVILLE, GA 30135-4824
(954) 851-3592
Mailing address
5038 GREENWOOD DR, DOUGLASVILLE, GA 30135-4824
(954) 851-3592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014406
GA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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