Mallory, Rodney
Mallory, Rodney is an sole proprietor health care provider with primary practice located at 2300 W Park Pl Ste 135 , Stone Mountain GA 30087-3561. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Mallory, Rodney can be contacted via phone (678) 330-1400.Contact Information
Primary practice address
2300 W Park Pl Ste 135
Stone Mountain GA 30087-3561
Phone: (678) 330-1400
Fax: (678) 330-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Georgia |
Profile Details
| NPI number | 1194312108 |
|---|---|
| LBN Legal business name | Mallory, Rodney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2020 |
| Last updated | Dec 23rd, 2020 - about 6 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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