Healthcare Provider Details

I. General information

NPI: 1689203267
Provider Name (Legal Business Name): WILLIAM MACK MALARKEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 PINE ST STE 500
MACON GA
31201-7530
US

IV. Provider business mailing address

840 PINE ST STE 500
MACON GA
31201-7530
US

V. Phone/Fax

Practice location:
  • Phone: 478-633-8682
  • Fax: 478-633-8698
Mailing address:
  • Phone: 478-633-8682
  • Fax: 478-633-8698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number105091
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: