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Individual

MRS. PAULINE ELIZABETH MALLCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-A

Contact information

Practice address
564 PEACHTREE PKWY STE 106, CUMMING, GA 30041-7401
(678) 771-8857
(678) 771-8862
Mailing address
564 PEACHTREE PKWY STE 106, CUMMING, GA 30041-7401
(678) 771-8857
(678) 771-8862

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003614
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD003614
GA

Other

Enumeration date
05/10/2006
Last updated
08/09/2024
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