Dr William Olin Mallow, MD | |
803 N Jefferson St, Albany, GA 31701-2373 | |
(229) 312-7800 | |
Not Available |
Full Name | Dr William Olin Mallow |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 803 N Jefferson St, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396793733 | NPI | - | NPPES |
003122498F | Medicaid | GA | |
160195 | Medicaid | SC |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
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Dr William Olin Mallow, MD 2700 Mccall Ct, Albany, GA 31721-9193 Ph: (864) 344-0265 | Dr William Olin Mallow, MD 803 N Jefferson St, Albany, GA 31701-2373 Ph: (229) 312-7800 |
Ayodeji Akadiri, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Dr. Andrew George Misulia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Gregory Walter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2000 | |
Dr. Elmera V Dejarme, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Dr. Gopala Krishna Derebail, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Dr. Alfred Lee Woodard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Dr. Christopher Andrew Ham, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 |