Individual
MRS. PAMELA SUZANNE MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5131 WARM SPRINGS RD, COLUMBUS, GA 31909-4196
(706) 561-1371
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002808
GA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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