Raymundo T Mallari, M.D.

NPI #1205991965 in Fairburn, Georgia

Provider Information

NPI Number: 1205991965
Entity Type: Individual
Name: Raymundo T Mallari, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 285 DIX LEEON DR
City: Fairburn
State: Georgia
ZIP Code: 30213-3609
Phone: (770) 461-5436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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