Individual
STEPHEN MALLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
567 ARLINGTON PL, MACON, GA 31201-1704
(478) 745-9206
(478) 738-0758
Mailing address
567 ARLINGTON PL, MACON, GA 31201-1704
(478) 745-9206
(478) 738-0758
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
028600
GA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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