Individual
DR. MALAIKA MANJU WITTER HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Mailing address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
057267
GA
207YP0228X
Pediatric Otolaryngology Physician
057267
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
057267
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343624855A
—
GA
05
—
343624855B
—
GA
05
—
343624855C
—
GA
05
—
343624855T
—
GA
05
—
343624855U
—
GA
05
—
343624855Y
—
GA
01
—
52173053
BCBS OF GEORGIA
GA
Enumeration date
06/03/2006
Last updated
02/01/2017
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