Organization
DR ANDREW MALINCHAK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES MALINCHAK DO (PHYSICIAN)
(770) 788-9199
Entity
Organization
Contact information
Practice address
4128 HIGHWAY 278 NE, COVINGTON, GA 30014-2494
(770) 788-9199
(770) 788-6774
Mailing address
4128 HIGHWAY 278 NE, COVINGTON, GA 30014-2494
(770) 788-9199
(770) 788-6774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760427C
—
GA
Enumeration date
12/18/2014
Last updated
12/18/2014
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