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Ms. Mallory Maryruth Gray, CPNP-PC
Pediatric Nurse Practitioner in Decatur, Georgia
NPI 1659992899

Mallory Maryruth Gray is a Pediatric Nurse Practitioner based in Decatur, GA and is specialized in Pediatrics. Mallory Maryruth Gray practices in Decatur, GA and has the professional credentials of CPNP-PC. The NPI Number for Mallory Maryruth Gray is 1659992899 and holds a License No. RN262243 (Georgia).

The current practice location address for Mallory Maryruth Gray is 350 Winn Way, Decatur, GA and can be reached out via phone at 404-508-1177. You can also correspond with Mallory Maryruth Gray through the mailing address at 350 WINN WAY, DECATUR, GA - 30030-2106 (mailing address contact number: 770-312-5566).

Location: 350 Winn Way, Decatur, GA, 30030-2106
person
Provider Profile Details
NPI Number
1659992899
Provider Name
Mallory Maryruth Gray
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
350 Winn Way, Decatur, GA, 30030-2106
Phone Number
404-508-1177
Fax Number
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 Winn Way
City
State
Zip
30030-2106
Phone Number
404-508-1177
Fax Number
person
Provider Business Mailing Address Details
Address
350 Winn Way
City
State
Zip
30030-2106
Phone Number
404-508-1177
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN262243 (Georgia)
Definition
Definition to come...
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