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NPI Code Detail

MEDICARE: DR. HEATHER PHELPS MALONEY D.O.

MEDICARE: DR. HEATHER PHELPS MALONEY D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology Physician059494GA

General Provider Information

NPI Number : 1801071691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER PHELPS MALONEY D.O.
Provider Business Mailing Address
First Line : 2970 BRANDYWINE RD STE 125
Second Line :
City : ATLANTA
State : GA
Zip : 30341-5521
Country : US
Telephone Number : 404-256-2593
Fax Number : 770-488-9408
Provider Business Practice Location Address
First Line : 2174 N DRUID HILLS RD NE STE 630
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3102
Country : US
Telephone Number : 404-256-2593
Fax Number : 770-488-9408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2007
Last Update Date : 02/27/2026

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