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1912567447
MALLORY WASHINGTON
FAYETTEVILLE, GA
NPI
1912567447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA 232916)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
MALLORY WASHINGTON APRN
101 YORKTOWN DR STE 102
FAYETTEVILLE, GA 30214-1578
Phone number: 770-460-4285
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Mailing Address
MALLORY WASHINGTON APRN
4000 SHAKERAG HILL STE 201
PEACHTREE CITY, GA 30269-4047
Phone number: 770-486-7111
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