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Individual

CHRIS EDWARD MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1181 LANGFORD DR, BUILDING 300, SUITE 104, WATKINSVILLE, GA 30677-7242
(706) 850-3444
(706) 850-3448
Mailing address
1181 LANGFORD DR, BUILDING 300, SUITE 104, WATKINSVILLE, GA 30677-7242
(706) 850-3444
(706) 850-3448

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
038295
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
863074953B
GA
Enumeration date
08/04/2006
Last updated
04/10/2015
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