Mallow, William Olin

Mallow, William Olin is an individual health care provider with primary practice located at 803 N Jefferson St , Albany GA 31701-2373. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mallow, William Olin can be contacted via phone (229) 312-7800.

Contact Information

Primary practice address
803 N Jefferson St Albany GA 31701-2373
Phone: (229) 312-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16019 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16019 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 056900 Georgia

Profile Details

NPI number 1396793733
LBN Legal business name Mallow, William Olin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 16th, 2012 - about 14 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 1396793733 NPPES
Georgia MEDICAID 003122498F
Georgia MEDICAID 160195

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