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Individual

MICHAEL P MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7049
(865) 291-3228

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001371
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278245
ANTHEM
VA
Enumeration date
07/18/2006
Last updated
03/07/2023
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