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Individual
PAUL WILLIAM MALLORY
Active
Individual
PAUL WILLIAM MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
61001
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
61001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61001
MEDICAL LICENSE - OPHTHALMOLOGY
TN
Enumeration date
04/05/2016
Last updated
09/29/2026
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