Van Lee Malia D.O.

NPI 1740423243 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1740423243
Gender Male
Enumeration Date 04/13/2009
Last Updated 02/09/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
EVANS GA, 30809-3089, US
Phone (706) 922-6780
Fax (706) 286-7090
Business Location
PO BOX 80883
ATHENS GA, 30608-0883, US
Phone (706) 549-8114
Fax (706) 723-5904
Taxonomy Code 208100000X
License State Georgia
License Number 070274
Remove 1740423243 NPI Number

According to our database, Dr. Van Lee Malia D.O. NPI is 1740423243, taxonomy code is 208100000X and license number is 070274, license state is located at Georgia. Van Lee Malia D.O. physically located at 4301 University Pkwy, Evans GA, 30809-3089. NPI Number Van Lee Malia D.O. has the Individual type.

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1740423243 NPI number is provided on an as is basis without warranty of any kind. 1740423243 is maintained by the National Plan & Provider Enumeration System. The contents of Van Lee Malia D.O. are for informational purposes only.