Malcolm M Traxler Jr MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

052651 Issued in GA

Legal business name

MALCOLM M TRAXLER JR MD PC

Practice address

102 Pilgrim Village Dr
Suite 300
Cumming, GA 30040-2577

Phone

(678) 392-5429

Fax

(678) 947-3256

NPI assigned

May 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malcolm M Traxler Jr., MDNPI 1124013172

Title

President/Owner

Phone

(678) 392-5429

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malcolm M Traxler Jr., MD

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1124013172
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1912965252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PILGRIM VILLAGE DR",
            "address_2": "SUITE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402577",
            "telephone_number": "678-392-5429",
            "fax_number": "678-947-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PILGRIM VILLAGE DR",
            "address_2": "SUITE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402577",
            "telephone_number": "678-392-5429",
            "fax_number": "678-947-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM M TRAXLER JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "TRAXLER",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "678-392-5429",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheree Madison, PHD
• Laurel Pestik Magbee, R.PH.
• Magnolia Pharmacy Services
• Swati Mahajan, MD
• Sitwat Mahmood
• Malcolm P. Dulock, MD
• Jayasri Mallavarapu, M.D., M.P.H.
• Pauline Elizabeth Mallcott, M.A., CCC-A
• Madison Malloy
• Leah Maloof

• Internal Medicine Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.