Healthcare Provider Details

I. General information

NPI: 1508788878
Provider Name (Legal Business Name): NICHOLAS DALTON MULLIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 MILLVIEW LN
MATTHEWS NC
28104-3206
US

IV. Provider business mailing address

1406 MILLVIEW LN
MATTHEWS NC
28104-3206
US

V. Phone/Fax

Practice location:
  • Phone: 704-221-8394
  • Fax:
Mailing address:
  • Phone: 704-221-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: