Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMANUEL MALIK ANDERSON
Active Sole ProprietorEMANUEL MALIK ANDERSON is a Community/Behavioral Health healthcare provider located in FORT VALLEY, Georgia. NPI 1568094449 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · FORT VALLEY, GA
Registration Details
- NPI Number
- 1568094449
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2020 (6.3338653286745 yrs)
- Last Updated
- Feb 7, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 E CHURCH STFORT VALLEY, GA, 310303097Browse GA providers · Browse ZIP 31030
- Phone
- 4788256499
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in FORT VALLEY, GA
| Name | Credential | NPI |
|---|---|---|
| KEENAN JAMES PACUT | — | 1013540160 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.