Provider Demographics
NPI:1093792400
Name:MALONEY, FAYE E SPECTOR (MD)
Entity Type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:E SPECTOR
Last Name:MALONEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:FAYE
Other - Middle Name:E
Other - Last Name:SPECTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1664 MULKEY RD
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1114
Mailing Address - Country:US
Mailing Address - Phone:770-941-7709
Mailing Address - Fax:770-941-6441
Practice Address - Street 1:1664 MULKEY RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1114
Practice Address - Country:US
Practice Address - Phone:770-941-7709
Practice Address - Fax:770-941-6441
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23685208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics