Individual
DR. MICHAEL DAVID MALISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1042 EMORY PARC PL, DECATUR, GA 30033-4056
(404) 798-6104
Mailing address
1042 EMORY PARC PL, DECATUR, GA 30033-4056
(404) 798-6104
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
51252
GA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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