Organization
MALLORY COMMUNITY HEALTH
Active
Other names
Mallory Mobile RV Clinic 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA MABRY (BUSINESS MANAGER)
(662) 834-0746
Entity
Organization
Contact information
Practice address
17280 HIGHWAY 17, LEXINGTON, MS 39095-6614
(662) 834-1857
(662) 834-1859
Mailing address
PO BOX 479, LEXINGTON, MS 39095-0479
(662) 834-1857
(662) 834-1859
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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