Individual provider · Type 1 NPI
Branderly Maliwa
Family Nurse Practitioner · Douglasville, GA
NPI number
1447790530
Active
Practice location
3311 Highway 5 Ste C
Douglasville, GA 30135-2375
Mailing address
3311 Highway 5, Suite C, One Stop Medical Clinic
Douglasville, GA 30135
Other practice locations
- 1000 Johnson Fy Rd NE, Atlanta, GA 30342-1606 · (404) 851-8924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN224384 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447790530
Branderly Maliwa's National Provider Identifier is 1447790530, issued on Mar 8, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Douglasville, GA. The record was last updated on Jun 16, 2018.