Mallory Elisha Vinsant, PA-C

NPI #1285001511 in Harrogate, Tennessee

Provider Information

NPI Number
1285001511
Entity Type
Individual
Name
Mallory Elisha Vinsant, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 21, 2015
Last Updated
Aug 21, 2015

Practice Location

Address
165 WESTMORELAND ST
ZIP Code
37752-8202
Phone
(423) 869-7193

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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