Individual
BASMA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
148 BORTONS LANDING RD, MOORESTOWN, NJ 08057-3055
(609) 257-8031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR23023900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
GAA-NP002919
GA
Other
Enumeration date
02/02/2015
Last updated
11/22/2024
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