Individual
RODNEY MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 W PARK PL STE 135, STONE MOUNTAIN, GA 30087-3561
(678) 330-1400
(678) 330-1405
Mailing address
5665 SOUTHLAND DR, STONE MOUNTAIN, GA 30087-5272
(678) 478-2559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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