Chatity M Mallard, RN
NPI #1639843055 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1639843055
- Entity Type
- Individual
- Name
- Chatity M Mallard, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Credential
- RN
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Aug 9, 2021
Practice Location
- Address
- 176 CHRISTOPHER CIR
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-8403
- Phone
- (478) 501-3805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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