Individual
MICHELLE ALEJANDRA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
677 CHURCH ST NE STE 100, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Mailing address
677 CHURCH ST NE STE 100, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021960
NY
363A00000X
Physician Assistant
Primary
9603
GA
363AM0700X
Medical Physician Assistant
021960
NY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/02/2018
Last updated
05/26/2026
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