Aycock, Mallory Mccord

Aycock, Mallory Mccord is an individual health care provider with primary practice located at 750 Townpark Lane Kaiser Permanente Townpark Medical Center, Kennesaw GA 30144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aycock, Mallory Mccord can be contacted via phone (404) 256-9692.

Contact Information

Primary practice address
750 Townpark Lane Kaiser Permanente Townpark Medical Center Kennesaw GA 30144
Phone: (404) 256-9692
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6613 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006613 Georgia

Profile Details

NPI number 1982987376
LBN Legal business name Aycock, Mallory Mccord
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Jan 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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