Individual
DR. JIMI SAMUEL MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1821 CLIFTON RD NE STE 1017, ATLANTA, GA 30329-4021
(404) 712-8979
Mailing address
3105 PAYTON RD NE, ATLANTA, GA 30345-2643
(229) 347-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
070276
GA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
070276
GA
208M00000X
Hospitalist Physician
070276
GA
Other
Enumeration date
07/14/2013
Last updated
03/04/2020
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