Individual
DR. MYRNA THURMOND MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
710 KING RD, RIVERDALE, GA 30274-2027
(770) 468-7100
Mailing address
9100 AMBERLEIGH LN, RIVERDALE, GA 30274-4682
(404) 552-3829
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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