Francis, Gweneth Malicia

Francis, Gweneth Malicia is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 201, Fayetteville GA 30214-4548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Francis, Gweneth Malicia can be contacted via phone (678) 435-3044.

Contact Information

Primary practice address
1265 Highway 54 W Suite 201 Fayetteville GA 30214-4548
Phone: (678) 435-3044
Fax: (678) 435-3040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 068157 Georgia

Profile Details

NPI number 1972825990
LBN Legal business name Francis, Gweneth Malicia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Sep 29th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972825990 NPPES
South Carolina MEDICAID GA1350
South Carolina MEDICAID 003126922A

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