Edna Elaine Mallory, NP-C

NPI #1255682381 in Lagrange, Georgia

Provider Information

NPI Number
1255682381
Entity Type
Individual
Name
Edna Elaine Mallory, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Sep 28, 2012
Last Updated
Oct 23, 2025

Practice Location

Address
2169 W POINT RD
State
Georgia
ZIP Code
30240-4002
Phone
(706) 902-9516

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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