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NPI Code Detail

MEDICARE: MICHAEL L MALEY MD

MEDICARE: MICHAEL L MALEY MD
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
1208000000XPediatrics Physician34410GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104819218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL L MALEY MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 58 BIG A ROAD
Second Line :
City : TOCCOA
State : GA
Zip : 30577-6000
Country : US
Telephone Number : 706-886-8419
Fax Number : 706-827-5083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 11/09/2020

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Directions to “ MICHAEL L MALEY MD” Practice Location

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