Individual
MALLORY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
315 LAKE VIEW CIR, RIVERSIDE, AL 35135-1458
(205) 915-7463
Mailing address
315 LAKE VIEW CIR, RIVERSIDE, AL 35135-1458
(205) 915-7463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2543
AL
Other
Enumeration date
02/07/2019
Last updated
12/11/2023
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