Provider Demographics
NPI:1558954594
Name:MALONE, MARCELLA JOY (DACM)
Entity Type:Individual
Prefix:DR
First Name:MARCELLA
Middle Name:JOY
Last Name:MALONE
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:111 CUMBERLAND AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1757
Mailing Address - Country:US
Mailing Address - Phone:623-277-8243
Mailing Address - Fax:
Practice Address - Street 1:5C LONG SHOALS RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7783
Practice Address - Country:US
Practice Address - Phone:623-277-8243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAC-2040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist