Individual
MRS. MALLORIE WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(256) 394-7521
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(256) 394-7521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-161627
AL
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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