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Contact Information

MALLORY L WILLIS, DO
1171 GATEWOOD DRIVE
#101
AUBURN, AL36830
 Phone: 334-821-2708
 Fax: 334-528-5420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MALLORY L WILLIS · (Female)

NPI Number 1306308309
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/01/2019
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 2943
  • AL Other 2943 ALABAMA MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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