Individual
DR. MALOA CHU AFFUEMBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3050 FIVE FORKS TRICKUM RD SW STE D451, LILBURN, GA 30047-1810
(678) 383-0463
Mailing address
3050 FIVE FORKS TRICKUM RD SW STE D451, LILBURN, GA 30047-1810
(678) 383-0463
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
074977
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199897
—
LA
Enumeration date
04/10/2012
Last updated
01/24/2020
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