NPI 1013504893
Mallory S Parker
Practice location
- Address
- 848 Hiram Acworth Hwy Bldg 100, Hiram, GA 30141-2286
- Phone
- (678) 818-5877
- Mailing address
- 235 Susie Creek Ln, Villa Rica, GA 30180-5214
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1013504893
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Dec 2020
- Record last updated
- 28 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.