Individual
MRS. MALAYSISA WAYDINE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 INDEPENDENCE DR, CARROLLTON, GA 30116-9000
(770) 836-6678
(770) 830-2266
Mailing address
153 INDEPENDENCE DR, CARROLLTON, GA 30116-9000
(770) 836-6678
(770) 830-2266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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