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NPI Code Detail

MEDICARE: MULLEN ELDER CARE, P.C.

MEDICARE: MULLEN ELDER CARE, P.C.
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
1174400000XSpecialist039882GA

General Provider Information

NPI Number : 1083882435
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULLEN ELDER CARE, P.C.
Provider Business Mailing Address
First Line : 126 SEQUOYAH TRL
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-4360
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 126 SEQUOYAH TRL
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-4360
Country : US
Telephone Number : 706-965-2179
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS MULLEN
Credential : MD
Telephone Number : 706-965-2179
Provider Enumeration Date : 02/19/2008
Last Update Date : 02/19/2008

Similar Medicare Providers

1174520837 — DR. THOMAS N MULLEN M.D.
Practice Location Address:
126 SEQUOYAH TRL
RINGGOLD, GA
30736-4360
Practice Phone: 706-965-2179
Practice Fax:
1003767245 — RAKITAH ABDULLAH
Practice Location Address:
3164 HOUSTON VALLEY RD
RINGGOLD, GA
30736-8711
Practice Phone: 706-349-1182
Practice Fax:
1770585028 — COMPREHENSIVE HEALTHCARE SERVICES
Practice Location Address:
227 N BRENT DR
RINGGOLD, GA
30736-8238
Practice Phone: 706-861-7733
Practice Fax: 706-861-7777
1104826049 — A NEW ME
Practice Location Address:
7715 NASHVILLE ST
RINGGOLD, GA
30736-2302
Practice Phone: 706-935-2799
Practice Fax: 706-937-5252
1205836822 — GEORGE THOMAS GILMORE MD
Practice Location Address:
4700 BATTLEFIELD PKWY , SUITE 130
RINGGOLD, GA
30736-5166
Practice Phone: 706-866-2740
Practice Fax: 706-861-3944
1275533598 — RONAL DOWNING GRAHAM DDS
Practice Location Address:
896 LAFAYETTE ST
RINGGOLD, GA
30736-2367
Practice Phone: 706-935-2251
Practice Fax: 706-935-5355

Directions to “MULLEN ELDER CARE, P.C. ” Practice Location

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