Individual
STEPHEN B. MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6602 WATERS AVE BLDG A, SAVANNAH, GA 31406-2778
(912) 350-6000
(912) 350-6001
Mailing address
6602 WATERS AVE BLDG A, SAVANNAH, GA 31406-2778
(912) 350-6000
(912) 350-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028436
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000342581D
—
GA
05
—
000342581E
—
GA
05
—
000342581F
—
GA
01
—
10065022
AMERIGROUP
GA
01
—
110214364
RR MEDICARE
GA
01
—
349799
WELLCARE
GA
05
—
G28436
—
SC
Enumeration date
06/07/2006
Last updated
02/10/2022
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