Individual
MRS. MALLORY MATHIS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP, FNP, MSN, RN
Contact information
Practice address
1600 7TH AVE S # CPPNM20, BIRMINGHAM, AL 35233-1711
(205) 638-9072
(205) 638-2833
Mailing address
1600 7TH AVE S # CPPNM20, BIRMINGHAM, AL 35233-1711
(205) 638-9072
(205) 638-2833
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-185381
AL
Other
Enumeration date
01/16/2013
Last updated
02/01/2023
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