| Doctor Name: | DR. CHYKEETRA SHINNYETTE MALTBIA |
| NPI Number: | 1649451683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 29376 |
| Business Practice Address: | 6420 Hillcrest Park Ct Suite B Mobile, AL - 366952688 |
| Business Phone Number: | 2514472953 |
| Business Fax Number: | 2514472745 |
| Mailing Address: | 6420 Hillcrest Park Ct, Suite B MOBILE |
| State: | AL |
| Postal Code: | 366952688 |
| Phone Number: | 2514472953 |
| Fax Number: | 2514472745 |
| NPI Enumeration Date: | 11/19/2007 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29376 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |