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 |