Individual
MALLORIE MCDOWELL PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5416 HIGHWAY 28 E, PINEVILLE, LA 71360-4756
(318) 216-1010
(318) 302-0504
Mailing address
5416 HIGHWAY 28 E, PINEVILLE, LA 71360-4756
(318) 216-1010
(318) 302-0504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
320834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517694
—
LA
Enumeration date
08/19/2019
Last updated
05/07/2025
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