Most Relevant Information
Provider Data
| NPI Number: | 1003538513 |
| Provider Name: | ASHBY EMMALYN MALLOY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2022 |
| Last Updated: | 09/13/2022 |
Provider Practice Location
3200 DOWNWOOD CIR NW STE 700
ATLANTA
GA
303275308
Practice Location Phone/Fax
| Phone: | 4043558066 |
| Fax: | 8443117739 |
Provider Mailing Location
381 PINE FOREST RD
ATLANTA
GA
303422759
Provider Mailing Phone/Fax
| Phone: | 4043177177 |
| Fax: |