Individual
MARTINA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 FAYETTEVILLE RD SE, STE. B, ATLANTA, GA 30316-2932
(678) 708-6105
Mailing address
1017 FAYETTEVILLE RD SE, STE. B, ATLANTA, GA 30316-2932
(678) 708-6105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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