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NPI Code Detail

MEDICARE: DR. PATRICIA CALLAGHAN MULLINS MD

MEDICARE: DR. PATRICIA CALLAGHAN MULLINS MD
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
1208000000XPediatrics Physician203539MA
2208000000XPediatrics Physician058085GA

General Provider Information

NPI Number : 1568435527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA CALLAGHAN MULLINS MD
Provider Business Mailing Address
First Line : 1001 JOHNSON FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1605
Country : US
Telephone Number : 404-785-5252
Fax Number :
Provider Business Practice Location Address
First Line : 1001 JOHNSON FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1605
Country : US
Telephone Number : 404-785-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 08/13/2007

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