Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Osborne Fallin, PA-C

Individual provider Dermatology Physician · NPI 1548805401

Mallory Osborne Fallin, PA-C is a Dermatology Physician in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2019.

Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

103 John Maddox Dr NW
Rome, GA 30165-1419
Phone: (706) 235-7711
Fax: (706) 235-9944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9372 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 9372 (GA)

Record details

NPI number1548805401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2019
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

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