Individual
MALLORY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 YORKTOWN DR STE 102, FAYETTEVILLE, GA 30214-1578
(770) 460-4285
Mailing address
4000 SHAKERAG HILL STE 201, PEACHTREE CITY, GA 30269-4047
(770) 486-7111
(770) 486-7131
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
232916
GA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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