Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shiloh Valley Clinic LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1497698104

Shiloh Valley Clinic LLC is a Psychiatric/Mental Health Nurse Practitioner in Marietta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

707 Whitlock Ave SW
Marietta, GA 30064-3000
Phone: (765) 326-0148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1497698104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Branderly Maliwa — President/Ceo · (765) 326-0148
NPI enumeratedApril 9, 2026
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address707 Whitlock Ave Sw, Marietta, GA 30064-3000

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