DR. MALLORY ANDREW LAWRENCE M.D. NPI 1790868065

NPI Information

NPI: 1790868065
Provider Name: DR. MALLORY ANDREW LAWRENCE, M.D.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1348 WALTON WAY
SUITE 6500
AUGUSTA, GA
ZIP 30901
Phone: (706) 722-2118
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DR. Mallory Andrew Lawrence, M.D. is a colon rectal surgery in Augusta, GA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. DR. Mallory Andrew Lawrence, M.D. NPI is 1790868065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1348 WALTON WAY
SUITE 6500
AUGUSTA, GA
ZIP 30901-104
Phone: (706) 722-2118
Fax: (706) 722-0342

The NPI 1790868065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 2/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208C00000X	Colon & Rectal Surgery		026578	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1621144003	OTHER	GEORGIA	CIGNA
2	G26578	MEDICAID	SOUTH CAROLINA
3	00399517A	MEDICAID	GEORGIA
4	4140381	OTHER	GEORGIA	AETNA
5	E19954	MEDICARE UPIN	GEORGIA
6	1621144004	OTHER	GEORGIA	CIGNA HMO
7	2089751	OTHER	GEORGIA	AETNA HMO
8	020014961	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RAILROAD
9	02BDBRV	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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