Provider Demographics
NPI:1700405719
Name:READY, MALIKAH (DMD)
Entity Type:Individual
Prefix:DR
First Name:MALIKAH
Middle Name:
Last Name:READY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MALIKAH
Other - Middle Name:
Other - Last Name:CHRISTIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1900 HUDSON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-5038
Mailing Address - Country:US
Mailing Address - Phone:770-506-9818
Mailing Address - Fax:770-506-9812
Practice Address - Street 1:1900 HUDSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5038
Practice Address - Country:US
Practice Address - Phone:770-506-9818
Practice Address - Fax:770-506-9812
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN122387122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program