Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old National Ob- GYN, LLC

Organization Gynecology Physician · NPI 1851426878

Old National Ob- GYN, LLC is a Gynecology Physician in College Park, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6210 Old National Hwy
College Park, GA 30349-4330
Phone: (770) 991-7552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 621111 (GA)

Record details

NPI number1851426878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyrone Malloy — Owner · (770) 991-7552
NPI enumeratedFebruary 22, 2007
Last updated in NPPESMay 3, 2010
Mailing address6210 Old National Hwy, College Park, GA 30349-4330

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