Individual
MALLORY SHILLINGER
Active
Individual
MALLORY SHILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84754
GA
208D00000X
General Practice Physician
208D00000X
FL
Other
Enumeration date
05/25/2016
Last updated
10/20/2020
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