Individual
MALLORY ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 MAIN AVE SW, SUITE E, CULLMAN, AL 35055-5299
(256) 531-9213
Mailing address
1701 MAIN AVE SW, SUITE E, CULLMAN, AL 35055-5299
(256) 531-9213
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-131922
AL
Other
Enumeration date
11/17/2016
Last updated
10/16/2024
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