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Individual

DR. SYLVESTER B MALCOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1002 POINTE SOUTH PKWY, JONESBORO, GA 30238-4324
(678) 559-5891
Mailing address
859 JIM DAWS RD, MONROE, GA 30656-4863
(678) 559-5891

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15814
MD
1223G0001X
General Practice Dentistry
Primary
DN122625
GA

Other

Enumeration date
02/15/2016
Last updated
09/06/2022
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