Individual provider · Type 1 NPI

Mallory Rust

Student in an Organized Health Care Education/Training Program · Buford, GA

NPI number 1093510968 Active

Practice location

6060 Ambercrest Ct
Buford, GA 30518-6604

Call (678) 897-3883 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093510968

Mallory Rust's National Provider Identifier is 1093510968, issued on Feb 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buford, GA. The record was last updated on Apr 5, 2026.