MALLORY MOODY, PA
Physician Assistant
Active
Individual
NPI: 1710612718
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1710612718 is the National Provider Identifier for MALLORY MOODY, PA, a Physician Assistant provider located in Millington, TN. This NPI was enumerated on July 22, 2022.
MALLORY MOODY, PA practices at 4772 NAVY RD STE A, Millington, TN 38053.
Quick Facts
- NPI
- 1710612718
- Type
- Individual
- Enumerated
- Jul 22, 2022
- Last Updated
- Jul 23, 2024
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