MEDICARE: JEFFREY BRYAN MULLINS ATC

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
1	2255A2300X	Athletic Trainer	0000000593	TN

General Provider Information

NPI Number	:	1144878448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY BRYAN MULLINS ATC

Provider Business Mailing Address
First Line	:	1511 20TH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-1522
Country	:	US
Telephone Number	:	423-364-0169
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 N OCOEE ST
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-4475
Country	:	US
Telephone Number	:	423-614-8462
Fax Number	:	423-614-8438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	08/29/2019

Similar Medicare Providers

1831059146 — HANNAH STEWMAN
Practice Location Address:

1120 N OCOEE ST
CLEVELAND, TN
37311-4475

Practice Phone: 800-533-9930
Practice Fax:

1093405920 — MISS DHURANIQUE DAPHNE LAURA FERGUSON
Practice Location Address:

1120 N OCOEE ST
CLEVELAND, TN
37311-4475

Practice Phone: 423-380-8255
Practice Fax:

1497461875 — YAZMINA GARCIA ORTIZ
Practice Location Address:

5709 CLARK AVE APT 1
CLEVELAND, OH
44102-4475

Practice Phone: 216-468-2554
Practice Fax:

1245011162 — THERESA PIERCE
Practice Location Address:

4475 W 158TH ST
CLEVELAND, OH
44135-2601

Practice Phone: 216-632-2029
Practice Fax:

1538947957 — JOHN NEWELL KING FNP-C
Practice Location Address:

2415 CHAMBLISS AVE NW
CLEVELAND, TN
37311-3882

Practice Phone: 423-559-2800
Practice Fax: 423-559-0532

1467316612 — EUGENE ERWIN HOPE
Practice Location Address:

654 RED CLAY RD SW
CLEVELAND, TN
37311-3301

Practice Phone: 423-505-6946
Practice Fax:

Directions to “ JEFFREY BRYAN MULLINS ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.