Individual
MOLLIE DIANE MALONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2601 JESS NEELY DRIVE, NASHVILLE, TN 37212
(615) 343-7762
Mailing address
937 PERCY WARNER BLVD, NASHVILLE, TN 37205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000192
TN
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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