| Doctor Name: | MISS DEIDRE CAMILLE MALONE |
| NPI Number: | 1720272396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN |
| License Number: | 107826 |
| Business Practice Address: | 103 Old Thomson Rd Apt B Grovetown, GA - 308132639 |
| Business Phone Number: | 7068688217 |
| Business Fax Number: | |
| Mailing Address: | 103 Old Thomson Rd, Apt B GROVETOWN |
| State: | GA |
| Postal Code: | 308132639 |
| Phone Number: | 7068688217 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2007 |
| NPI Last Update Date: | 08/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH1000X |
| License Number: | 107826 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hospice |
| Taxonomy Definition: | |