MALLORY FORT

COLUMBIA, TN
NPI1659707057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: TN  APN17959)
Enumeration Date2013-09-18
Last Update Date2013-09-18
Business Address
MALLORY FORT P.N.P.
1600 NASHVILLE HWY
COLUMBIA, TN 38401-1004
Phone number: 931-388-8965
Mailing Address
MALLORY FORT P.N.P.
1600 NASHVILLE HWY
COLUMBIA, TN 38401-1004
Phone number: 931-388-8965
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