Mallick, Reema
Mallick, Reema is an individual health care provider with primary practice located at 1040 Eagle'S Landing Parkway Suite 100, Stockbridge GA 30281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mallick, Reema can be contacted via phone (770) 474-7287.Contact Information
Primary practice address
1040 Eagle'S Landing Parkway Suite 100
Stockbridge GA 30281
Phone: (770) 474-7287
Fax: (770) 389-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 60507 | Minnesota |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36039 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 83461 | Georgia |
Profile Details
| NPI number | 1093098824 |
|---|---|
| LBN Legal business name | Mallick, Reema |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2011 |
| Last updated | Aug 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093098824 | NPPES |
| Georgia | MEDICAID | 003227593A |
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