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

Mallory Rust

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093510968

Mallory Rust is a Student in an Organized Health Care Education/Training Program in Buford, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

6060 Ambercrest Ct
Buford, GA 30518-6604
Phone: (678) 897-3883
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1093510968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2025
Last updated in NPPESApril 5, 2026
Certification dateApril 5, 2026
Mailing address6060 Ambercrest Ct, Buford, GA 30518-6604

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