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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MALCOLM TATUM, RPH

Active Sole Proprietor

MR. MALCOLM TATUM, RPH is a Pharmacist healthcare provider located in PINE MOUNTAIN, Georgia. NPI 1770768517 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · PINE MOUNTAIN, GA

Registration Details

NPI Number
1770768517
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2007 (18.625494001753 yrs)
Last Updated
Dec 28, 2007
License
9558 (GA)
Sole Proprietor
Yes

Practice Information

Address
27 WHITE OAK PT
PINE MOUNTAIN, GA, 318223523
Browse GA providers · Browse ZIP 31822
Phone
7066639323
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in PINE MOUNTAIN, GA

Name Credential NPI
MR. CHARLES IVERSON STOREY III RPH 1821278441
JOSH B SEWARD 1376132696
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.