MEDICARE: DR. EUPHEMIA W MU M.D.

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	207N00000X	Dermatology Physician	2018-00190	NC
2	207ND0101X	MOHS-Micrographic Surgery Physician	2018-00190	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245500545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUPHEMIA W MU M.D.

Provider Business Mailing Address
First Line	:	2111 E STATE ST
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-2138
Country	:	US
Telephone Number	:	740-566-4621
Fax Number	:	740-566-4622

Provider Business Practice Location Address
First Line	:	485 TOM HALL ST STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-2353
Country	:	US
Telephone Number	:	803-228-7972
Fax Number	:	803-228-7974

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

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	04/05/2024

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