Mallory Bates

NPI #1306173471 in Cuthbert, Georgia

Provider Information

NPI Number: 1306173471
Entity Type: Individual
Name: Mallory Bates
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 11, 2009
Last Updated: Nov 11, 2009

Practice Location

Address: 3665 COTTON HILL RD
City: Cuthbert
State: Georgia
ZIP Code: 39840-4919
Phone: (229) 881-4764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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