Search › Georgia › 363L00000X
Mallory Stavrinakis
NPI 1154881969 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1405 Clifton Rd Ne
Atlanta, GA 30322 - Phone
- (262) 483-1580
- Organisation at this address
- Egleston Pediatric Group
Children'S Healthcare Of Atlanta
Egleston Children'S Hospital At Emory University, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 508
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- GA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia