Individual
JAMES E MALLETTE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
216 MARENGO ST, SUITE H, FLORENCE, AL 35630-6012
(256) 767-1701
(256) 760-0496
Mailing address
216 MARENGO ST, SUITE H, FLORENCE, AL 35630-6012
(256) 767-1701
(256) 760-0496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DO-749
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009983860
—
AL
Enumeration date
03/08/2006
Last updated
10/10/2011
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