Healthcare Provider Details

I. General information

NPI: 1518853381
Provider Name (Legal Business Name): HANNAH MALAYA RAMELB PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 SCENIC HWY N STE C
SNELLVILLE GA
30078-5646
US

IV. Provider business mailing address

5352 BARBERRY AVE
OAKWOOD GA
30566-0341
US

V. Phone/Fax

Practice location:
  • Phone: 770-706-4024
  • Fax: 770-299-0845
Mailing address:
  • Phone: 843-330-7544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number13105
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number13105
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: