DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TARA S. MALLETT, D.O.

Active

DR. TARA S. MALLETT, D.O. is a Pediatrics healthcare provider located in LUCEDALE, Mississippi. NPI 1467565267 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · LUCEDALE, MS

Registration Details

NPI Number
1467565267
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2006 (19.963003382025 yrs)
Last Updated
Jan 6, 2011
License
13329 (MS)

Practice Information

Address
92 W. RATLIFF STREET
LUCEDALE, MS, 394526537
Browse MS providers · Browse ZIP 39452
Phone
6019478181
Fax
6019474411
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in LUCEDALE, MS

Name Credential NPI
DR. NATOYA BARNETT-GRINDLEY MD 1134350465
JENNIFER LASHAY ATKINS M.D. 1457679300
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.