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1376822965
AMELIA RUTH MALCOM
MADISON, GA
NPI
1376822965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 171386)
Enumeration Date
2011-08-12
Last Update Date
2011-08-12
Business Address
-- AMELIA RUTH MALCOM APRN
1075 S MAIN ST SUITE 100
MADISON, GA 30650-2033
Phone number: 706-752-0322
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Mailing Address
-- AMELIA RUTH MALCOM APRN
PO BOX 209
MADISON, GA 30650-0209
Phone number: 706-752-0322
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