Individual
MWAMBA MWILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
Mailing address
3935 ROSEMOND RD, CLEVELAND HEIGHTS, OH 44121-2446
(734) 717-4865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
83774
GA
208M00000X
Hospitalist Physician
Primary
83774
GA
Other
Enumeration date
06/10/2016
Last updated
04/14/2026
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