Individual
DR. ELLIS L MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(678) 945-2100
(770) 941-3870
Mailing address
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8110
(678) 945-2100
(770) 941-3870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013773
GA
Other
Enumeration date
10/18/2005
Last updated
12/07/2011
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