Individual
DR. TYRONE CECIL MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 RAINBOW DR, DECATUR, GA 30034-2302
(404) 534-0035
(404) 286-7100
Mailing address
4201 RAINBOW DR, DECATUR, GA 30034-2302
(404) 534-0035
(404) 286-7100
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000227741A
—
GA
Enumeration date
09/06/2006
Last updated
09/23/2008
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