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Individual

FAUZIYA ALI MALANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APRN, FNP/ENP

Contact information

Practice address
500 MEDICAL CENTER BLVD STE 190, LAWRENCEVILLE, GA 30046-3379
(678) 312-3290
Mailing address
1271 NASH LEE DR SW, LILBURN, GA 30047-7634

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN270104
GA
363LF0000X
Family Nurse Practitioner
Primary
RN270104
GA

Other

Enumeration date
08/17/2017
Last updated
02/12/2024
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