Individual
DR. MALCOLM PAUL DULOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 CANTON RD, CUMMING, GA 30040-2213
(678) 456-8200
(678) 456-8201
Mailing address
319 CANTON RD, CUMMING, GA 30040-2213
(678) 456-8200
(678) 456-8201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013268
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316141302
GROUP NPI
GA
Enumeration date
10/13/2006
Last updated
11/18/2008
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