Martin, Mary Mallory
Martin, Mary Mallory is an individual health care provider with primary practice located at 3400 Highway 78 E Ste 412 , Jasper AL 35501-8952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martin, Mary Mallory can be contacted via phone (205) 384-3013.Contact Information
Primary practice address
3400 Highway 78 E Ste 412
Jasper AL 35501-8952
Phone: (205) 384-3013
Fax: (205) 384-3078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-137813 | Alabama |
Profile Details
| NPI number | 1598286072 |
|---|---|
| LBN Legal business name | Martin, Mary Mallory |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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