Individual
DR. WILLARD MAHLON WEST
Active
Individual
DR. WILLARD MAHLON WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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