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1831205723
SUSAN R MALLORY
DECATUR, GA
NPI
1831205723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 055425)
Enumeration Date
2006-08-22
Last Update Date
2014-04-04
Business Address
-- SUSAN R MALLORY md
445 WINN WAY DEKALB COMMUNITY SERVICE BOARD WINN WAY MHC
DECATUR, GA 30030
Phone number: 404-294-7700
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Mailing Address
-- SUSAN R MALLORY md
2133 KODIAK DR NE
ATLANTA, GA 30345-4149
Phone number:
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