Individual
DR. PRESLEY D MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720B MEDICAL PARK DR, BILOXI, MS 39532-2131
(228) 328-2093
(228) 328-2079
Mailing address
PO BOX 6639, DIBERVILLE, MS 39540-6639
(228) 328-2093
(228) 328-2079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12139
MS
Other
Enumeration date
04/10/2007
Last updated
03/19/2015
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