Individual
DR. MALLORY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1000
Mailing address
5137 WILLOW WAY, BIRMINGHAM, AL 35242-3469
(205) 383-7875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-167482
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
6631
NC
Other
Enumeration date
05/18/2021
Last updated
05/19/2021
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