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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 IncInferred 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