Individual
STEPHEN B. MALONE
Active
Individual
STEPHEN B. MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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