Search › Georgia › 363LP0200X
Mallory Gray, CPNP-PC
NPI 1659992899 · on the registry since 2020
Practice
- Address
- 350 Winn Way
Decatur, GA 30030 - Phone
- (404) 508-1177
- Organisation at this address
- Dekalb Pediatric Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-28
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