Individual
MARY MALONE ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 NORTH STADIUM DRIVE, BATON ROUGE, LA 70803-0001
(225) 510-5102
Mailing address
780 HARRIS RD, DYERSBURG, TN 38024-6263
(731) 445-3002
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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