MALLORY IRENE CHIANG

POOLER, GA
NPI1174387773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-02-13
Last Update Date2024-05-21
Business Address
MALLORY IRENE CHIANG
200 BLUE MOON XING STE 203
POOLER, GA 31322-9698
Phone number: 912-590-0973
Mailing Address
MALLORY IRENE CHIANG
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 32224-0609
Phone number: 904-256-2754
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