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1366515645
STEPHEN MALLARY
MACON, GA
NPI
1366515645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 028600)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
-- STEPHEN MALLARY md
567 ARLINGTON PL
MACON, GA 31201-1704
Phone number: 478-745-9206
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Mailing Address
-- STEPHEN MALLARY md
567 ARLINGTON PL
MACON, GA 31201-1704
Phone number: 478-745-9206
Copy
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