Individual
JOHN GREEN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6602 WATERS AVE BLDG C, SAVANNAH, GA 31406-2778
(912) 354-7676
(912) 503-2164
Mailing address
6602 WATERS AVE BLDG C, SAVANNAH, GA 31406-2778
(912) 354-7676
(912) 503-2164
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
37606
GA
2084N0400X
Neurology Physician
9400568
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11618
PARTNERS MEDICARE
NC
01
—
54933
BLUE CROSS BLUE SHIELD
NC
05
—
8954933
—
NC
Enumeration date
03/10/2006
Last updated
09/14/2023
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