Old National Ob- Gyn, LLC
NPI #1851426878 in College Park, Georgia
Provider Information
- NPI Number
- 1851426878
- Entity Type
- Organization
- Organization Name
- Old National Ob- Gyn, LLC
- Primary Specialty
- Obstetrics & Gynecology - Gynecology
- Enumeration Date
- Feb 22, 2007
- Last Updated
- May 3, 2010
Practice Location
- Address
- 6210 OLD NATIONAL HWY
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-4330
- Phone
- (770) 991-7552
Authorized Official
- Name
- DR. TYRONE C MALLOY, M.D.
- Title
- OWNER
- Phone
- (770) 991-7552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
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