Mallory Rust

NPI #1093510968 in Buford, Georgia

Provider Information

NPI Number: 1093510968
Entity Type: Individual
Name: Mallory Rust
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 15, 2025
Last Updated: Feb 19, 2025

Practice Location

Address: 6060 AMBERCREST CT
City: Buford
State: Georgia
ZIP Code: 30518-6604
Phone: (678) 897-3883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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