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NPI Code Detail

MEDICARE: FRANCES HAYDEN MULLIGAN

MEDICARE: FRANCES HAYDEN MULLIGAN
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
1363A00000XPhysician Assistant0010-07826NC

General Provider Information

NPI Number : 1821596461
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES HAYDEN MULLIGAN
Provider Business Mailing Address
First Line : 381 RUIN CREEK RD
Second Line :
City : HENDERSON
State : NC
Zip : 27536-2932
Country : US
Telephone Number : 252-430-0666
Fax Number :
Provider Business Practice Location Address
First Line : 381 RUIN CREEK RD
Second Line :
City : HENDERSON
State : NC
Zip : 27536-2932
Country : US
Telephone Number : 252-430-0666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2018
Last Update Date : 02/03/2026

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Directions to “ FRANCES HAYDEN MULLIGAN ” Practice Location

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