Individual
MALLORY TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 GREENO RD N, FAIRHOPE, AL 36532-2914
(251) 277-5300
Mailing address
921 CEDAR LAKE RD STE E, BILOXI, MS 39532-2126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1168
AL
Other
Enumeration date
09/23/2016
Last updated
03/31/2026
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