Individual
JOSEPH CECIL MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
(731) 784-4308
Mailing address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
(731) 784-4308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3065
TN
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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