| Dr Tara S Mallett, DO | |
|
92 W. Ratliff Street, Lucedale, MS 39452-6537 | |
| (601) 947-8181 | |
| (601) 947-4411 |
| Full Name | Dr Tara S Mallett |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 92 W. Ratliff Street, Lucedale, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467565267 | NPI | - | NPPES |
| 0112990 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 13329 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara S Mallett, DO Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 947-8181 | Dr Tara S Mallett, DO 92 W. Ratliff Street, Lucedale, MS 39452-6537 Ph: (601) 947-8181 |
Dr. Natoya Barnett-grindley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 | |
Jennifer Lashay Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 |