Individual
MALLORY METRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(770) 382-6120
Mailing address
1025 HICKORY WOODS WAY, CANTON, GA 30115-4917
(770) 330-3492
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PCET002680
GA
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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