Healthcare Provider Details

I. General information

NPI: 1114553278
Provider Name (Legal Business Name): MALLORY SCHULER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 JOHNS CREEK PKWY STE 300
JOHNS CREEK GA
30097-3509
US

IV. Provider business mailing address

1266 W PACES FERRY RD NW # 183
ATLANTA GA
30327-2306
US

V. Phone/Fax

Practice location:
  • Phone: 470-723-4866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: