Chiang, Mallory Irene
Chiang, Mallory Irene is an individual health care provider with primary practice located at 200 Blue Moon Xing Ste 203 , Pooler GA 31322-9698. 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. Chiang, Mallory Irene can be contacted via phone (912) 590-0973.Contact Information
Primary practice address
200 Blue Moon Xing Ste 203
Pooler GA 31322-9698
Phone: (912) 590-0973
Fax: (912) 590-0180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1174387773 |
|---|---|
| LBN Legal business name | Chiang, Mallory Irene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2024 |
| Last updated | May 21st, 2024 - about last year |
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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