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 provides Gynecology Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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