Individual
WILLIAM E MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
683 DIVISION STREET, BILOXI, MS 39530
(228) 374-4991
(228) 374-3566
Mailing address
PO BOX 475, BILOXI, MS 39533
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
422
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880064
—
MS
Enumeration date
03/01/2006
Last updated
06/06/2013
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