Individual
NASIRA M MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1135 BROADWAY ST, SOUTH FULTON, TN 38257-2835
(731) 479-2606
(731) 479-2610
Mailing address
1135 BROADWAY ST, SOUTH FULTON, TN 38257-2835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35637
KY
208000000X
Pediatrics Physician
Primary
52411
TN
Other
Enumeration date
07/28/2006
Last updated
09/06/2016
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