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Raymundo T Mallari, MD
Specialist in Fairburn, Georgia
NPI 1205991965

Raymundo T Mallari is a Specialist based in Fairburn, GA. Raymundo T Mallari practices in Fairburn, GA and has the professional credentials of MD. The NPI Number for Raymundo T Mallari is 1205991965 and holds a License No. 017855 (Georgia).

The current practice location address for Raymundo T Mallari is 285 Dix Leeon Dr, Fairburn, GA and can be reached out via phone at 770-461-5436 and via fax at 770-461-5436.

Location: 285 Dix Leeon Dr, Fairburn, GA, 30213-3609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205991965
Provider Name
Raymundo T Mallari
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
285 Dix Leeon Dr, Fairburn, GA, 30213-3609
Phone Number
770-461-5436
Fax Number
770-461-5436
Provider Enumeration Date
12/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
285 Dix Leeon Dr
City
Fairburn
State
Georgia
Zip
30213-3609
Phone Number
770-461-5436
Fax Number
770-461-5436
person
Provider Business Mailing Address Details
Address
285 Dix Leeon Dr
City
Fairburn
State
Georgia
Zip
30213-3609
Phone Number
770-461-5436
Fax Number
770-461-5436
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
017855 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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