KRISTIN LAUREN MALLORY

LAGRANGE, GA
NPI1992384507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN236013)
Additional Taxonomies207Q00000X Family Medicine
(Licence: GA  RN236013)
Enumeration Date2021-04-02
Last Update Date2024-10-08
Business Address
KRISTIN LAUREN MALLORY NP
1698 VERNON RD
LAGRANGE, GA 30240-4100
Phone number: 706-298-4937
Mailing Address
KRISTIN LAUREN MALLORY NP
1698 VERNON RD
LAGRANGE, GA 30240-4100
Phone number: 706-298-4937