Individual
MALLORY OSBORNE FALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(762) 235-1710
(706) 291-2227
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9372
GA
Other
Enumeration date
11/14/2019
Last updated
05/10/2024
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