Dr. Jimi Samuel Malik
Family Doctor Family Doctor - Hospice and Palliative Medicine
1821 Clifton Rd Ne Ste 1017
Atlanta
, Georgia 30329-4021
Dr. Jimi Samuel Malik
Family Doctor Family Doctor - Hospice and Palliative Medicine
1821 Clifton Rd Ne Ste 1017
Atlanta
, Georgia 30329-4021
(229) 347-1114
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Jimi Samuel Malik
- 3105 Payton Rd Ne
- Atlanta, GA
- Zip : 30345-2643
- Phone : (229) 347-1114
Second Address
- Dr. Jimi Samuel Malik
- 1821 Clifton Rd Ne Ste 1017
- Atlanta, GA
- Zip : 30329-4021
- Phone : (404) 712-8979
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Is Dr. Jimi Samuel Malik a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 070276 | GA |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 070276 | GA |
National Provider Identifier
| NPI | 1619318045 |
|---|---|
| Provider Name | Dr. Jimi Samuel Malik |
| First Address | Atlanta, GA 30345-2643 |
| Second Address | Atlanta, GA 30329-4021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2013 |
| Last Update Date | 04/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.