Individual
MARK LELAND MALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 S SHARON AMITY RD, SUITE 100, CHARLOTTE, NC 28211-2842
(704) 365-0555
(704) 367-8122
Mailing address
PO BOX 60160, CHARLOTTE, NC 28260-0160
(704) 365-0555
(704) 367-8122
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31869
NC
207WX0109X
Neuro-ophthalmology Physician
31869
NC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
31869
NC
Other
Enumeration date
10/25/2005
Last updated
02/23/2023
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