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Reginald Malone, PA-C
NPI 1912404401 · on the registry since 2018 · sole proprietor
Practice
- Address
- 175 White St Nw Ste 100
Marietta, GA 30060 - Phone
- (470) 793-0208
- Organisation at this address
- Marietta Smiles Llc
Scottish Rite Children'S Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Medical Physician Assistant
Surgical Physician Assistant - Licence states on file
- NY, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-07
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