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NPI Code Detail

MEDICARE: JULIE A MULIFORD NP

MEDICARE: JULIE A MULIFORD NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN104575GA

General Provider Information

NPI Number : 1174095095
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A MULIFORD NP
Provider Business Mailing Address
First Line : 500 W 3RD AVE STE 101
Second Line :
City : ALBANY
State : GA
Zip : 31701-1900
Country : US
Telephone Number : 229-312-5802
Fax Number : 229-312-5853
Provider Business Practice Location Address
First Line : 2336 DAWSON RD STE 1500
Second Line :
City : ALBANY
State : GA
Zip : 31707-2802
Country : US
Telephone Number : 229-312-8590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/18/2018

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