Mark Leland Malton, MD
Ophthalmology in Charlotte, NC. Individual provider (NPI-1).
NPI number1629068283
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1629068283
- Entity type
- Individual (NPI-1)
- Name
- Mark Leland Malton
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2005
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 31869 | NC | Yes |
| 207WX0109X | Ophthalmology, Neuro-ophthalmology | 31869 | NC | |
| 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 31869 | NC |
Practice location
135 S Sharon Amity RdSuite 100
Charlotte, NC 28211-2842
Phone 704-365-0555 · Fax 704-367-8122
Mailing address
Po Box 60160Charlotte, NC 28260-0160
Phone 704-365-0555 · Fax 704-367-8122
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