Individual
MALLORY ALEXIS DUSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
941 WOODLAND TRL SE, SMYRNA, GA 30080-1535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN294902
GA
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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