Mallory, Jason S.

Mallory, Jason S. is an sole proprietor health care provider with primary practice located at 1224 Trotwood Ave , Columbia TN 38401-4802. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Mallory, Jason S. can be contacted via phone (931) 388-1111.

Contact Information

Primary practice address
1224 Trotwood Ave Columbia TN 38401-4802
Phone: (931) 388-1111
Fax: (931) 540-4213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD0000001968 Tennessee

Profile Details

NPI number 1346485554
LBN Legal business name Mallory, Jason S.
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2008
Last updated Sep 14th, 2009 - about 16 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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