Malloy, Tyrone Cecil
Malloy, Tyrone Cecil is an sole proprietor health care provider with primary practice located at 4201 Rainbow Dr , Decatur GA 30034-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Malloy, Tyrone Cecil can be contacted via phone (404) 534-0035.Contact Information
Primary practice address
4201 Rainbow Dr
Decatur GA 30034-2302
Phone: (404) 534-0035
Fax: (404) 286-7100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 23086 | Georgia |
Profile Details
| NPI number | 1841393097 |
|---|---|
| LBN Legal business name | Malloy, Tyrone Cecil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Sep 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841393097 | NPPES |
| Georgia | MEDICAID | 000227741A |
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