MEDICARE: FRANCIS H MCMULLAN MD INC

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	261QH0100X	Health Service Clinic/Center	0101011412	VA

General Provider Information

NPI Number	:	1174994388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCIS H MCMULLAN MD INC

Provider Business Mailing Address
First Line	:	1500 WESTBROOK COURT
Second Line	:	1144
City	:	RICHMOOND
State	:	VA
Zip	:	23227-3368
Country	:	US
Telephone Number	:	804-200-1286
Fax Number	:	804-200-1286

Provider Business Practice Location Address
First Line	:	1500 WESTBROOK CT
Second Line	:	1144
City	:	RICHMOND
State	:	VA
Zip	:	23227-3365
Country	:	US
Telephone Number	:	804-200-1286
Fax Number	:	804-200-1286

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCIS HUNTER MCMULLAN X
Credential	:	MD
Telephone Number	:	804-200-1286

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	10/14/2015

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