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NPI Code Detail

MEDICARE: BRIAN P MALONEY M.D.

MEDICARE: BRIAN P MALONEY M.D.
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
1208200000XPlastic Surgery Physician040953GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040953OTHERGALICENSE

General Provider Information

NPI Number : 1275655763
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN P MALONEY M.D.
Provider Business Mailing Address
First Line : 6111 PEACHTREE DUNWOODY RD NE BLDG E
Second Line : SUITE 201
City : ATLANTA
State : GA
Zip : 30328-6049
Country : US
Telephone Number : 770-804-0007
Fax Number :
Provider Business Practice Location Address
First Line : 6111 PEACHTREE DUNWOODY RD NE BLDG E
Second Line : SUITE 201
City : ATLANTA
State : GA
Zip : 30328-6049
Country : US
Telephone Number : 770-804-0007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ BRIAN P MALONEY M.D.” Practice Location

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