Individual
BILLY K MALONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 871-8741
Mailing address
1021 COUNTY ROAD 383, NEW ALBANY, MS 38652
(662) 871-8741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906839
MS
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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