Individual provider · Type 1 NPI

Mallory K. Bellissimo, PA-C

Physician Assistant · Atlanta, GA

NPI number 1255640074 Active

Practice location

3617 Roswell Rd NE
Atlanta, GA 30305-1111

Fax (404) 467-2489

Mailing address

961 Adair Ave NE
Atlanta, GA 30306-3809

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10513 (GA)
Physician Assistant 363A00000XPA60385985 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255640074

Mallory K. Bellissimo, PA-C's National Provider Identifier is 1255640074, issued on Sep 28, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 7, 2023.