Williams, Mallory
Williams, Mallory is an individual health care provider with primary practice located at 2041 Georgia Ave Nw Ste 4000 , Washington DC 20060-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Williams, Mallory can be contacted via phone (202) 865-3785.Contact Information
Primary practice address
2041 Georgia Ave Nw Ste 4000
Washington DC 20060-4228
Phone: (202) 865-3785
Fax: (202) 865-3136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 227496 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.095349 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD041969 | District of Columbia |
Profile Details
| NPI number | 1669488003 |
|---|---|
| LBN Legal business name | Williams, Mallory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 1st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669488003 | NPPES |
| Louisiana | MEDICAID | 1184071 | |
| Louisiana | MEDICAID | 086515600 |
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