Individual
MARVA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 LAKE ESTHER DR, FAIRBURN, GA 30213-2774
(404) 368-3490
Mailing address
6565 LAKE ESTHER DR, FAIRBURN, GA 30213-2774
(404) 368-3490
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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