Mallory, Roslyn V

Mallory, Roslyn V is an individual health care provider with primary practice located at 70 Doctors Dr , Panama City FL 32405-4517. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mallory, Roslyn V can be contacted via phone (850) 785-1517.

Contact Information

Primary practice address
70 Doctors Dr Panama City FL 32405-4517
Phone: (850) 785-1517
Fax: (850) 784-1271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME107856 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME107856 Florida
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME107856 Florida

Profile Details

NPI number 1871771410
LBN Legal business name Mallory, Roslyn V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Jan 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871771410 NPPES
Florida Other 149F4 BCBS
Florida MEDICAID 002800000 BCBS

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