Individual provider · Type 1 NPI
Raymundo T. Mallari, MD
Specialist · Fairburn, GA
NPI number
1205991965
Active
Practice location
285 Dix Leeon Dr
Fairburn, GA 30213-3609
Fax (770) 461-5436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 017855 (GA) |
Specialist: 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.
Other specialist providers in Fairburn
About NPI 1205991965
Raymundo T. Mallari, MD's National Provider Identifier is 1205991965, issued on Dec 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairburn, GA. The record was last updated on Jul 8, 2007.