NPI 1316141302

Malcolm P. Dulock, MD

Organisation Specialist Cumming, GA

Practice location

Address: 319 Canton Rd, Cumming, GA 30040-2213
Phone: (678) 456-8200
Fax: (678) 456-8201

Authorised official

Name: Patti Herrick
Title: Business Manager
Phone: (678) 456-8200

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 013265 (GA)

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Registry record

NPI: 1316141302
Entity type: Organization
NPI issued: 13 Jun 2007
Record last updated: 4 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.