Mallory, Deborah L.

Mallory, Deborah L. is an individual health care provider with primary practice located at 470 Taylor Rd , Montgomery AL 36117-3563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mallory, Deborah L. can be contacted via phone (334) 226-4048.

Contact Information

Primary practice address
470 Taylor Rd Montgomery AL 36117-3563
Phone: (334) 226-4048
Fax: (334) 323-5675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-025129 Alabama

Profile Details

NPI number 1780657874
LBN Legal business name Mallory, Deborah L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 23rd, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780657874 NPPES
Alabama Other 510-35357 BCBS
Alabama MEDICAID 000035357 BCBS
Alabama Other 430044804 BCBS

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