Individual
MALLORY CATALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309-1796
(404) 367-3014
Mailing address
3940 TAMIAMI TRL, CUMMING, GA 30041-8947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9508
GA
Other
Enumeration date
09/11/2019
Last updated
01/14/2020
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