Individual
PAUL MICHAEL MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
BELMONT UNIVERSITY / VANDERBILT ORTHOPAEDIC INSTIT, 1215 21ST AVENUE SOUTH, SUITE 4200, NASHVILLE, TN 37232-0001
(615) 460-5585
Mailing address
1204 KIRKLAND AVE, NASHVILLE, TN 37216-3217
(615) 418-1030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000000642
TN
Other
Enumeration date
04/10/2006
Last updated
08/11/2008
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