DR. Tara S. Mallett, D.O.

NPI #1467565267 in Lucedale, Mississippi

Provider Information

NPI Number: 1467565267
Entity Type: Individual
Name: DR. Tara S. Mallett, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Aug 16, 2006
Last Updated: Jan 6, 2011

Practice Location

Address: 92 W. RATLIFF STREET
City: Lucedale
State: Mississippi
ZIP Code: 39452-6537
Phone: (601) 947-8181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
Grhs Hospital Pediatricians Part of Community Medical Center	Pediatrics	Lucedale	AI Deep Dive

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