Individual
MONICA MALLAMACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12045 HIGHWAY 92, WOODSTOCK, GA 30188-4499
(678) 848-5121
Mailing address
12045 HIGHWAY 92, WOODSTOCK, GA 30188-4499
(678) 848-5121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010428
GA
Other
Enumeration date
10/30/2024
Last updated
11/07/2024
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