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Organization

MALCOLM M TRAXLER JR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALCOLM M TRAXLER JR. MD (PRESIDENT/OWNER)
(678) 392-5429
Entity
Organization

Contact information

Practice address
102 PILGRIM VILLAGE DR, SUITE 300, CUMMING, GA 30040-2577
(678) 392-5429
(678) 947-3256
Mailing address
102 PILGRIM VILLAGE DR, SUITE 300, CUMMING, GA 30040-2577
(678) 392-5429
(678) 947-3256

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052651
GA

Other

Enumeration date
05/03/2006
Last updated
09/17/2012
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