Individual
LAURA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 2ND ST SE, MOULTRIE, GA 31768-6608
(229) 529-3437
Mailing address
1715 2ND ST SE, MOULTRIE, GA 31768-6608
(229) 529-3437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002927
GA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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