MEDICARE: CHATITY M MALLARD RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1639843055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHATITY M MALLARD RN

Provider Business Mailing Address
First Line	:	176 CHRISTOPHER CIR
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-8403
Country	:	US
Telephone Number	:	478-501-3805
Fax Number	:

Provider Business Practice Location Address
First Line	:	176 CHRISTOPHER CIR
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-8403
Country	:	US
Telephone Number	:	478-501-3805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	08/09/2021

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1780688507 — DR. GARRY THOMAS PAGE JR. D.C.
Practice Location Address:

1596 S LEE ST
FORT GIBSON, OK
74434-8403

Practice Phone: 918-478-3388
Practice Fax: 918-478-3397

1831193655 — DR. ANN ELIZABETH PAGE D.C.
Practice Location Address:

1596 S LEE ST
FORT GIBSON, OK
74434-8403

Practice Phone: 918-478-3388
Practice Fax: 918-478-3397

1073865051 — KRISTIN E. RAHN
Practice Location Address:

8403 RAIL FENCE RD
FORT WAYNE, IN
46835-4464

Practice Phone: 260-804-1960
Practice Fax:

1023454659 — CHRISTINE MONTESI
Practice Location Address:

200 SPRINGFIELD PKWY
FORT MILL, SC
29715-8403

Practice Phone: 803-548-8209
Practice Fax:

1861350266 — MARGARET EILEEN DAVIS
Practice Location Address:

838 S SHELLEY LAKE LN
SPOKANE VALLEY, WA
99037-8403

Practice Phone: 509-939-9991
Practice Fax:

Directions to “ CHATITY M MALLARD RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.