Provider Demographics
NPI:1306371174
Name:FARDON-JONES-FINNEY, MALIKAH BAKIR
Entity Type:Individual
Prefix:MRS
First Name:MALIKAH
Middle Name:BAKIR
Last Name:FARDON-JONES-FINNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 LAKEVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-9082
Mailing Address - Country:US
Mailing Address - Phone:800-264-1404
Mailing Address - Fax:
Practice Address - Street 1:2300 LAKEVIEW PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-9082
Practice Address - Country:US
Practice Address - Phone:800-264-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist