Individual
AUSTIN JAMES MALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
242 KING AVENUE SUITE 150, ATHENS, GA 30606
(706) 475-1870
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008931
GA
363AS0400X
Surgical Physician Assistant
8931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205311131
NPI
—
Enumeration date
09/26/2018
Last updated
02/12/2026
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