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Individual

DR. MICHAEL S MALLONEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2325 W ARBORS DR, SUITE 201, CHARLOTTE, NC 28262-2663
(704) 295-3000
(704) 295-3468
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24453
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000293196
UNISON HEALTH PLAN SC
SC
01
01146098
AMERIGROUP OF SC
SC
01
1041433
UNITED HEALTHCARE
NC
01
10474
KANAWHA
NC
01
11545
WELLPATH
NC
01
141020
COVENTRY HEALTHCARE
NC
01
20097006
SELECT HEALTH OF SC
SC
01
276575
MAMSI
NC
01
4066654
AETNA
NC
01
53743
MEDCOST
NC
01
6194
DOCTORS HEALTH PLAN
NC
01
6354
PARTNERS
NC
05
8953786
NC
05
N24453
SC
Enumeration date
03/17/2006
Last updated
04/09/2010
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