Individual
ANGELA TATUM MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 HAY ST STE 201, FAYETTEVILLE, NC 28301-6105
(910) 764-8314
Mailing address
131 HAY ST STE 201, FAYETTEVILLE, NC 28301-6105
(910) 764-8314
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
01/20/2020
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