Malone, Mary
Malone, Mary is an individual health care provider with primary practice located at 80 Jesse Hill Jr Dr Se # 26105 Grady Health System, Gyn/Ob Clinic, Atlanta GA 30303-3031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Malone, Mary can be contacted via phone (404) 616-4898.Contact Information
Primary practice address
80 Jesse Hill Jr Dr Se # 26105 Grady Health System, Gyn/Ob Clinic
Atlanta GA 30303-3031
Phone: (404) 616-4898
Fax: (404) 616-2904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN049304 | Georgia |
Profile Details
| NPI number | 1235230822 |
|---|---|
| LBN Legal business name | Malone, Mary |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jan 9th, 2008 - about 17 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 | 1235230822 | NPPES |
| Other | 2454 | ACNM CERTIFICATION NUMBER | |
| Other | RN049304 | ACNM CERTIFICATION NUMBER | |
| MEDICAID | 00507966A | ACNM CERTIFICATION NUMBER |
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