Search › Georgia › 363LF0000X
Justin Malcom, MSN, NP-C
NPI 1205321320 · on the registry since 2018
Practice
- Address
- 3400 Riverside Dr
Macon, GA 31210 - Phone
- (478) 633-6644
- Fax
- (478) 633-4295
- Clinicians at this address
- 15
Additional practice sites
- 1508 Hardeman Ave, Macon, GA
- 2340 Patrick Henry Pkwy Ste 150, Mcdonough, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia