Individual
BRIAN P MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6111 PEACHTREE DUNWOODY RD NE BLDG E, SUITE 201, ATLANTA, GA 30328-6049
(770) 804-0007
Mailing address
6111 PEACHTREE DUNWOODY RD NE BLDG E, SUITE 201, ATLANTA, GA 30328-6049
(770) 804-0007
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
040953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040953
LICENSE
GA
Enumeration date
04/04/2007
Last updated
07/08/2007
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