AMELIA RUTH MALCOM

MADISON, GA
NPI1376822965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  171386)
Enumeration Date2011-08-12
Last Update Date2011-08-12
Business Address
-- AMELIA RUTH MALCOM APRN
1075 S MAIN ST SUITE 100
MADISON, GA 30650-2033
Phone number: 706-752-0322
Mailing Address
-- AMELIA RUTH MALCOM APRN
PO BOX 209
MADISON, GA 30650-0209
Phone number: 706-752-0322