Healthcare Provider Details

I. General information

NPI: 1538157789
Provider Name (Legal Business Name): CHRISTOPHER E MULLINS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HOSPITAL DR
SPRUCE PINE NC
28777-3035
US

IV. Provider business mailing address

9366 SKIPWITH ROAD
SKIPWITH VA
23968
US

V. Phone/Fax

Practice location:
  • Phone: 828-765-4201
  • Fax:
Mailing address:
  • Phone: 434-372-3819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0102201106
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102201106
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: