| Dr Van Lee Malia, DO | |
|
1008 Druid Park Ave Ste 101, Augusta, GA 30904-5848 | |
| (770) 962-3642 | |
| Not Available |
| Full Name | Dr Van Lee Malia |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 23 Years |
| Location | 1008 Druid Park Ave Ste 101, Augusta, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740423243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 070274 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 070274 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Pain And Wellness Center | 8527200864 | 53 |
| Entity Name | Advanced Pain Management, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538227566 PECOS PAC ID: 0941215032 Enrollment ID: O20060210000240 |
| Entity Name | Evans Procedure Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1518279504 PECOS PAC ID: 3274714308 Enrollment ID: O20110223000449 |
| Entity Name | Georgia Pain And Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356781181 PECOS PAC ID: 8527200864 Enrollment ID: O20130815000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Van Lee Malia, DO 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (770) 962-3642 | Dr Van Lee Malia, DO 1008 Druid Park Ave Ste 101, Augusta, GA 30904-5848 Ph: (770) 962-3642 |
Geum Yeon Sim, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1367 Interstate Pkwy, Augusta, GA 30909 Phone: 404-920-4950 | |
Kayla A Whaley, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321a Interstate Pkwy, Augusta, GA 30909 Phone: 706-738-7246 Fax: 706-738-7248 |