Individual
MALIKA DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084-6659
(678) 557-7484
Mailing address
1264 CEDAR PARK PL, STONE MOUNTAIN, GA 30083-1855
(678) 557-7484
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C0112215
GA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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