Search › Georgia › 163WL0100X
Mallary King
NPI 1154107977 · on the registry since 2023
Practice
- Address
- 157 Bear Paw Ct
Bogart, GA 30622 - Phone
- (706) 372-1483
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Also registered as
- 163WM0102X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia