Individual
DR. RANDOLPH AUGUSTUS MALONE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2804 REMINGTON GREEN CIRCLE STE1, TALLAHASSEE, FL 32308
(850) 656-6269
(850) 877-5270
Mailing address
2804 REMINGTON GREEN CIR STE 1, TALLAHASSEE, FL 32308-1550
(229) 226-5616
(229) 226-7132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
060041
—
174400000X
Specialist
—
—
207KA0200X
Allergy Physician
Primary
034412
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000465671A
—
GA
Enumeration date
02/01/2006
Last updated
03/17/2018
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