Individual
DR. WILLARD MAHLON WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-1118
(615) 443-0465
Mailing address
1425 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-1118
(615) 443-0465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD9741
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110125373
RAILROAD MEDICARE
GA
05
—
3185582
—
TN
Enumeration date
05/19/2006
Last updated
06/15/2015
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