Individual
DR. PATRICK S MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
620 J L WHITE DR STE 140B, JASPER, GA 30143-4896
(770) 408-2039
(888) 325-0461
Mailing address
PO BOX 2589, GAINESVILLE, GA 30503-2589
(888) 821-1242
(888) 325-0461
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000833
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
000833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00800214A
—
GA
01
—
823527
BLUE CROSS BLUE SHIELD
GA
01
—
P00246419
MEDICARE RR
GA
Enumeration date
01/05/2006
Last updated
04/12/2023
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