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NPI Code Detail

MEDICARE: MICHELLE ALEJANDRA MALONE PA-C

MEDICARE: MICHELLE ALEJANDRA MALONE PA-C
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
1363A00000XPhysician Assistant9603GA

General Provider Information

NPI Number : 1730685546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ALEJANDRA MALONE PA-C
Provider Business Mailing Address
First Line : 677 CHURCH ST NE STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1101
Country : US
Telephone Number : 770-422-2326
Fax Number : 770-422-7797
Provider Business Practice Location Address
First Line : 677 CHURCH ST NE STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1101
Country : US
Telephone Number : 770-422-2326
Fax Number : 770-422-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 05/26/2026

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Directions to “ MICHELLE ALEJANDRA MALONE PA-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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