Individual
MICHAEL JAMES MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COLLEGE AVE SE, GAINESVILLE, GA 30501-4510
(678) 971-5005
(678) 971-5009
Mailing address
100 COLLEGE AVE SE, GAINESVILLE, GA 30501-4510
(678) 971-5005
(678) 971-5009
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
024982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425389A
—
GA
Enumeration date
06/09/2005
Last updated
11/02/2016
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