Individual
TIMOTHY MALANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(704) 304-5000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2018-01213
NC
207L00000X
Anesthesiology Physician
D0059716
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401795100
—
MD
Enumeration date
06/28/2005
Last updated
09/19/2024
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