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Contact Information

RONALD MALCOLM, PA-C
1712-A EAST BROAD AVENUE
ALBANY, GA31705
 Phone: 229-639-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RONALD MALCOLM · (Male)

NPI # 1407958770
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 2081
  • GA Other 7169366 AETNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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