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Mallory Edwards, PA-C
NPI 1467876409 · on the registry since 2014
Practice
- Address
- 79 North St
Granville, NY 12832 - Phone
- (518) 642-0612
- Organisation at this address
- Glens Falls Hospital Inc
North Country Sports Medicine PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 17875 Von Karman Ave Ste 150&250, Irvine, CA
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-22
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 New York