Lookup NPI Numbers from the NPI Registry
NPI Profile for MALLORY FORT in COLUMBIA, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI # | 1659707057 |
|
| Status | Active | |
| Credentials | P.N.P. | |
| Entity | Individual | |
| Enumeration date | 09/18/2013 | |
| Last updated | 09/18/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MALLORY FORT
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MALLORY FORT, P.N.P.