| Mallory Community Health | |
|
300 Yazoo St Lexington MS 39095-3623 | |
| (662) 834-5000 | |
| (662) 834-5003 |
| Full Name | Mallory Community Health |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 Yazoo St, Lexington, Mississippi |
| Authorized Official Name and Position | Latonya Mabry (BUSINESS MANAGER) |
| Authorized Official Contact | 6628340746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Community Health Po Box 479 Lexington MS 39095-0479 Ph: (662) 834-1857 | Mallory Community Health 300 Yazoo St Lexington MS 39095-3623 Ph: (662) 834-5000 |
| NPI Number | 1982291415 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982291415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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