Individual
MALLORY DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 819-4164
Mailing address
5629 HWY 21 S, RINCON, GA 31326-9416
(912) 295-2133
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN254349
GA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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