EMANUEL MALIK ANDERSON

FORT VALLEY, GA
NPI1568094449
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2020-02-07
Last Update Date2020-02-07
Business Address
EMANUEL MALIK ANDERSON
410 E CHURCH ST
FORT VALLEY, GA 31030-3097
Phone number: 478-825-6499
Mailing Address
EMANUEL MALIK ANDERSON
410 E CHURCH ST
FORT VALLEY, GA 31030-3097
Phone number: 478-825-6499
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