Giles, Mallory

Giles, Mallory is an individual health care provider with primary practice located at 20955 Professional Plz Ste 200 , Ashburn VA 20147-3405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Giles, Mallory can be contacted via phone (703) 729-7652.

Contact Information

Primary practice address
20955 Professional Plz Ste 200 Ashburn VA 20147-3405
Phone: (703) 729-7652
Fax: (703) 729-8746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024182192 Virginia

Profile Details

NPI number 1417623497
LBN Legal business name Giles, Mallory
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Mar 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417623497 NPPES
Virginia MEDICAID 1417623497
Virginia MEDICAID 30016126720001

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