Mallory, Michael
Mallory, Michael is an individual health care provider with primary practice located at 1001 Johnson Ferry Rd Ne , Atlanta GA 30342-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Mallory, Michael can be contacted via phone (404) 250-2972.Contact Information
Primary practice address
1001 Johnson Ferry Rd Ne
Atlanta GA 30342-1605
Phone: (404) 250-2972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 4928357-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 046445 | Georgia |
Profile Details
| NPI number | 1003870288 |
|---|---|
| LBN Legal business name | Mallory, Michael |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jan 30th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003870288 | NPPES |
| Georgia | MEDICAID | 497037753 |
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