Individual
ELIAS MALACHI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 N MAIN ST, HINESVILLE, GA 31313-2512
(615) 560-6622
Mailing address
46 OUTPOST TRL, MIDWAY, GA 31320-7166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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