MALLORY WASHINGTON


Address: 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1578
Phone: 7704604285

MALLORY WASHINGTON (NPI# 1912567447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912567447
Entity Type Individual
Full Name MALLORY WASHINGTON
Credential APRN
Practice Address 101 Yorktown Dr Ste 102
Fayetteville
GA 30214-1578
Mailing Address 4000 Shakerag Hill Ste 201
Peachtree City
GA 30269-4047
Practice Telephone 7704604285
Mailing Telephone 7704867111
Mailing Fax Number 7704867131
Enumeration Date 2019-06-17
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
232916 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MALLORY WASHINGTON

NPI Name Taxonomy Address Enumeration
1801412283 Mallory Washington Registered Nurse 1287 Island Harbor Dr, Memphis, TN 38103-8998 2020-06-22

Office Location

Street Address 101 YORKTOWN DR STE 102
City FAYETTEVILLE
State GA
Zip Code 30214-1578

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093013591 Nugen Pharmacy LLC Pharmacy 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1568 2011-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538702170 Maya Tiffany Jacqueline King Nurse Practitioner 105 S Shore Ter, Fayetteville, GA 30214-7399 2019-10-27
1750686762 Angela Marie Guidry Nurse Practitioner 1572 Highway 85 N Ste 203, Fayetteville, GA 30214-7726 2011-01-21
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1427182492 Michelle L Roark Nurse Practitioner 3322 Melrose Rd, Fayetteville, NC 28304-1604 2007-03-14
1902891450 Phyllis K Marion Nurse Practitioner 1601 Owen Dr, Sr-ahec Specialty Medical Center, Fayetteville, NC 28304-3425 2005-09-12
1891306692 Katlin Lee Yokeley Nurse Practitioner 1540 Purdue Dr Ste 101, Fayetteville, NC 28303-5510 2020-08-14
1710473111 Cari Addington Nurse Practitioner 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 2018-07-09
1063915049 Alexa M Walker Nurse Practitioner 5617 Ramsey St, Fayetteville, NC 28311 2018-03-15
1801124334 Barbara Jean Chapman-nellis Nurse Practitioner 1235 Ramsey Street, Fayetteville, NC 28301 2009-11-20
1144466921 Katie Jean Poole Nurse Practitioner 509 Sandhurst Dr, Fayetteville, NC 28304-4433 2008-12-27
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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