Bonnie Mallard, OD

NPI 1407849318 · on the registry since 2005

Practice

Address: 1415 7th St S
Clanton, AL 35045
Phone: (205) 755-7114
Fax: (205) 755-8142
Organisation at this address: Mallard Eyecare, Inc
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-08-06

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 Alabama