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1588273122
MALLORY MARY NELSON
ATLANTA, GA
NPI
1588273122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 9862)
Enumeration Date
2020-07-29
Last Update Date
2024-12-04
Business Address
MALLORY MARY NELSON PA-C
3286 NORTHSIDE PKWY NW UNIT 1000
ATLANTA, GA 30327-2223
Phone number: 404-841-8450
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Mailing Address
MALLORY MARY NELSON PA-C
95 GADSDEN AVE
MARIETTA, GA 30008-6500
Phone number: 404-797-9949
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