Individual
DR. DARRYL EVAN MALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1437
(704) 749-5800
(704) 749-5819
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1437
(704) 749-5800
(704) 749-5819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200501143
NC
Other
Enumeration date
11/06/2006
Last updated
05/10/2012
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