Malozera Primary Care, LLC

NPI #1912544784 in Unadilla, Georgia

Provider Information

NPI Number: 1912544784
Entity Type: Organization
Organization Name: Malozera Primary Care, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 29, 2019
Last Updated: Nov 18, 2023

Practice Location

Address: 2809 PINE ST
City: Unadilla
State: Georgia
ZIP Code: 31091-7701
Phone: (478) 355-3000

Authorized Official

Name: DR. ALEXANDER C IBEZI-ENENDU, DO
Title: OWNER
Phone: (404) 702-9466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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