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Individual

PAUL WILLIAM MALLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1554
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

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
09/30/2025
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