Individual
MALLORY OSBORNE FALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 JOHN MADDOX DR NW, ROME, GA 30165-1419
(706) 235-7711
(706) 235-9944
Mailing address
103 JOHN MADDOX DR NW, ROME, GA 30165-1419
(706) 235-7711
(706) 235-9944
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
9372
GA
363A00000X
Physician Assistant
Primary
9372
GA
Other
Enumeration date
11/14/2019
Last updated
06/03/2026
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