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1710612718
MALLORY BROOKE MOODY
MILLINGTON, TN
NPI
1710612718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-22
Last Update Date
2024-07-23
Business Address
MALLORY BROOKE MOODY PA
4772 NAVY RD STE A
MILLINGTON, TN 38053-1957
Phone number: 901-873-0930
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Mailing Address
MALLORY BROOKE MOODY PA
4772 NAVY RD STE A
MILLINGTON, TN 38053-1957
Phone number: 901-873-0930
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