institution
Malcolm P. Dulock, Md
Specialist in Cumming, Georgia
NPI 1316141302

Malcolm P. Dulock, Md is a Specialist based in Cumming, GA. Malcolm P. Dulock, Md practices in Cumming, GA. The NPI Number for Malcolm P. Dulock, Md is 1316141302 and holds a License No. 013265 (Georgia).

The current practice location address for Malcolm P. Dulock, Md is 319 Canton Rd, Cumming, GA and can be reached out via phone at 678-456-8200 and via fax at 678-456-8201.

Location: 319 Canton Rd, Cumming, GA, 30040-2213
institution
Provider Profile Details
NPI Number
1316141302
Provider Name
Malcolm P. Dulock, Md
Credential
Provider Entity Type
Organization
Address
319 Canton Rd, Cumming, GA, 30040-2213
Phone Number
678-456-8200
Fax Number
678-456-8201
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP7624 01 GA MEDICARE
1922198647 01 GA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
319 Canton Rd
City
State
Zip
30040-2213
Phone Number
678-456-8200
Fax Number
678-456-8201
person
Provider Business Mailing Address Details
Address
319 Canton Rd
City
State
Zip
30040-2213
Phone Number
678-456-8200
Fax Number
678-456-8201
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
013265 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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