Doctor Name: | GEORGE ERIC MALIN |
NPI Number: | 1104981372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CAC |
License Number: | ACO771 |
Business Practice Address: | 422 W Market St Worcester County Health Department - Market Square Snow Hill, MD - 218631127 |
Business Phone Number: | 4106324510 |
Business Fax Number: | 4106324933 |
Mailing Address: | 6949 Elmo Dryden Rd, WESTOVER |
State: | MD |
Postal Code: | 218713707 |
Phone Number: | 4109573656 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | ACO771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |