Individual
WILLIAM JAMES MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
39019
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
39019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8953295
—
NC
Enumeration date
09/19/2005
Last updated
06/21/2012
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