Individual
ANEEQ AHMED MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
367 ATHENS HWY STE 100A, LOGANVILLE, GA 30052-2204
(678) 466-6760
Mailing address
217 BIRCHMORE WALK, LAWRENCEVILLE, GA 30044-4585
(678) 315-5804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
03/24/2023
Last updated
09/15/2023
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