NPI

Gregory Wayne Mallard

NPI 1235146846

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2006-08-03
Last updated
2024-01-16

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Specialties

Licenses

License AR
E2399
License VA
0101265974

Location

Practice location
425 W Jackson St
City
Piggott AR
Postal code
72454-1538
Phone
(870) 598-2236

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Piggott, AR. 93 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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