SearchTennesseePhysician Assistant

Mallory Tatum, P.A

NPI 1467978403 · on the registry since 2017

Practice

Address
9160 Highway 64 Ste 105
Lakeland, TN 38002
Phone
(901) 213-0100
Fax
(901) 213-0101
Organisation at this address
Mid South Med, Llc
Rehab & Pain Therapy
Total Renal Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 100 Baptist Memorial Cir Ste 200, Oxford, MS
  • 401 Southcrest Cir Ste 201, Southaven, MS
  • 6029 Walnut Grove Rd Ste 305, Memphis, TN
  • 7736 Airways Blvd, Southaven, MS
  • 255 Baptist Blvd Ste 401, Columbus, MS
  • 2301 S Lamar Blvd Ste 140, Oxford, MS
  • 2550 Parr Ave, Dyersburg, TN
  • 7600 Wolf River Blvd, Germantown, TN
  • 2550 Parr Ave, Dyersburg, TN
  • 9160 Highway 64 Ste 105, Lakeland, TN

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-26

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 Tennessee