Mallory Bates
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cuthbert, GA
NPI 1306173471 · NPPES record last updated Nov 11, 2009
Key facts
- NPI
- 1306173471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3665 Cotton Hill Rd
Cuthbert, GA 39840-4919 - Phone
- (229) 881-4764
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3665 Cotton Hill Rd
Cuthbert, GA 39840-4919
Mailing address
3665 Cotton Hill Rd
Cuthbert, GA 39840-4919
Phone (229) 881-4764
Other providers in Cuthbert, GA
- Adams Family Pharmacy, Too, Inc
- Adams Family Pharmacy, Too, Inc
- Albany Area Primary Health Care, Inc.
- Grace Anim
- Ashley Ann Austin
- Joanna W Braswell
- Gregory Varneal Bruce
- Careconnect Health, Inc.
- Michael Carr Jr.
- Castle Medical
All providers in Cuthbert, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.