Individual
TARA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MANCHESTER EXPRESSWAY, A. 13&14, COLUMBUS, GA 31904
(706) 653-9343
Mailing address
276 LEE ROAD 2200, SMITHS STATION, AL 36877-3389
(912) 271-4476
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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