Individual
ROBERT E MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2325 CRESTMOOR RD STE 101, NASHVILLE, TN 37215-2027
(629) 255-2216
(629) 255-4080
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10161
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883358
—
TN
Enumeration date
11/02/2005
Last updated
12/12/2017
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