Individual
DR. VAN LEE MALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1008 DRUID PARK AVE STE 101, AUGUSTA, GA 30904-5848
(770) 962-3642
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(709) 623-6437
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070274
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
070274
GA
Other
Enumeration date
04/13/2009
Last updated
05/22/2025
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