MISS DEIDRE CAMILLE MALONE (NPI# 1720272396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720272396 |
| Entity Type | Individual |
| Full Name | MISS DEIDRE CAMILLE MALONE |
| Credential | RN, MSN |
| Practice Address |
103 Old Thomson Rd Apt B Grovetown GA 30813-2639 |
| Practice Telephone | 7068688217 |
| Mailing Telephone | 7068688217 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
107826 | SC | Nursing Service Providers |
| Y | 163WX0200X |
Registered Nurse Specialization: Oncology |
1-091203 | AL | Nursing Service Providers |
| Street Address |
103 OLD THOMSON RD APT B |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 163WX0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180430 | Marie Daniella Perez | Registered Nurse | 112 Lee Ave, Leesburg, GA 31763-4117 | 2019-12-06 |
| 1730780073 | Mojisola Mary Bakare | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-11-03 |
| 1235597337 | Alice S Kerber | Registered Nurse | 50 Hurt Plz Se, Suite 704, Atlanta, GA 30303-2946 | 2016-02-03 |
| 1477994804 | Lisa Clair Logue | Registered Nurse | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2013-07-15 |
| 1710327176 | Jennifer Fournier | Registered Nurse | 225 Candler Dr, Suite 204, Savannah, GA 31405-6023 | 2013-07-01 |
| 1003041104 | Barbara O'callaghan | Registered Nurse | 631 Professional Drive, 450, Lawrenceville, GA 30046-7651 | 2009-05-19 |
| 1861627028 | Theresa Lynn Catlin | Registered Nurse | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046-7651 | 2009-05-18 |
| 1174761498 | Kelly Len Jackson | Registered Nurse | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2009-01-23 |
| 1881841047 | Jennifer M Butler | Registered Nurse | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2008-08-19 |
| 1184820128 | Sherry Annice Davis | Registered Nurse | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2007-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.