JUSTIN MARSHALL MALCOM

MACON, GA
NPI1205321320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  230579)
Enumeration Date2018-07-01
Last Update Date2020-09-28
Business Address
JUSTIN MARSHALL MALCOM MSN, NP-C
3400 RIVERSIDE DR
MACON, GA 31210-2513
Phone number: 478-633-6644
Mailing Address
JUSTIN MARSHALL MALCOM MSN, NP-C
3400 RIVERSIDE DR
MACON, GA 31210-2513
Phone number: 478-474-5600
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