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

Individual provider Specialist · NPI 1205991965

Raymundo T Mallari, MD is a Specialist in Fairburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

285 Dix Leeon Dr
Fairburn, GA 30213-3609
Phone: (770) 461-5436
Fax: (770) 461-5436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 017855 (GA)

Record details

NPI number1205991965
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 23, 2006
Last updated in NPPESJuly 8, 2007

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