Dr. Mallory Cranmer
Optometrist in Burke, VA. Individual provider (NPI-1).
NPI number1831500933
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1831500933
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mallory Cranmer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2014
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618002858 | VA | Yes |
| 152W00000X | Optometrist | OPT2840 | GA |
Practice location
9314 Old Keene Mill Rd Ste ABurke, VA 22015-4284
Phone 703-569-3131
Mailing address
9314 Old Keene Mill Rd Ste ABurke, VA 22015-4284
Phone 703-569-3131
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