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:
Health care specialties
Specialty | Code | License # | 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 10 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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