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Individual

ANNA TUPKO MALOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0191

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
200462
OK
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN198112
GA

Other

Enumeration date
02/05/2014
Last updated
12/14/2020
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