Individual
MALLIE MARIE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HOSPITAL ST, BOONEVILLE, MS 38829-3354
(662) 720-5000
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34904
MS
Other
Enumeration date
04/08/2021
Last updated
09/30/2025
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