Individual
MICHAEL L MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 BIG A ROAD, TOCCOA, GA 30577-6000
(706) 886-8419
(706) 827-5083
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000462745AED
—
GA
Enumeration date
08/24/2005
Last updated
11/09/2020
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