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Individual
MALLORY PARKER
Active
Individual
MALLORY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2584
SC
363A00000X
Physician Assistant
7774
GA
363A00000X
Physician Assistant
PA68029
CA
Other
Enumeration date
10/03/2015
Last updated
08/26/2026
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