Shelley H Mallard is a Family in Waynesboro, Georgia. Shelley H Mallard practices all healthcare services and medical treatments related to Family. The NPI Number for Shelley H Mallard is 1568404457. The last update date is 2008-02-29.
Shelley H Mallard's current location address is 305 Jones Ave, Waynesboro, Georgia. You can contact this provider via phone number 7065545147 and fax number 7065546111. The mailing address for Shelley H Mallard is 305 Jones Ave, Waynesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley H Mallard |
|---|---|
| Address | 305 Jones Ave, Waynesboro, Georgia |
| Phone Number | 7065545147 |
| Fax Number | 7065546111 |
| Sole Proprietor | N |
| Credentials | APRN, BC, |
NPI Number Detail
| NPI Number | 1568404457 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 305 Jones Ave |
|---|---|
| City | Waynesboro |
| State | Georgia (GA) |
| Post Code | 308301510 |
| Phone Number | 7065545147 |
| Fax Number | 7065546111 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R1129202 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Shelley H Mallard by the Centers for Medicare & Medicaid Services?
The Shelley H Mallard has been issued the NPI (National Provider Identifier) 1568404457 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shelley H Mallard is located?
The Shelley H Mallard is situated at the following address: 305 Jones Ave, Waynesboro, GA, 308301510.
What is Shelley H Mallard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelley H Mallard's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date was the 1568404457 assigned to Shelley H Mallard?
The Shelley H Mallard was issued its 1568404457 on 2006-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shelley H Mallard most recently updated or revised?
The details related to Shelley H Mallard, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY