Mallory Stephens Tatum, P.A.

NPI #1467978403 in Lakeland, Tennessee

Provider Information

NPI Number: 1467978403
Entity Type: Individual
Name: Mallory Stephens Tatum, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 22, 2017
Last Updated: Mar 26, 2020

Practice Location

Address: 9160 HIGHWAY 64 STE 105
City: Lakeland
State: Tennessee
ZIP Code: 38002-3011
Phone: (901) 213-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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