Mallory Irene Chiang

NPI #1174387773 in Pooler, Georgia

Provider Information

NPI Number: 1174387773
Entity Type: Individual
Name: Mallory Irene Chiang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Feb 13, 2024
Last Updated: May 21, 2024

Practice Location

Address: 200 BLUE MOON XING STE 203
City: Pooler
State: Georgia
ZIP Code: 31322-9698
Phone: (912) 590-0973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

Additional Practice Locations

1601 Fair Rd Ste 800

Statesboro, GA, 30458-0800

(912) 590-0973

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