Individual
ALEIJAH IMANI FOXWORTH-MANDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3804 BROOKFIELD CT, LOGANVILLE, GA 30052-9125
(404) 992-9249
Mailing address
3804 BROOKFIELD CT, LOGANVILLE, GA 30052-9125
(404) 992-9249
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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