# NATHAN H MULL IV LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043722754
- **Authorized official:** DR. NATHAN H MULL IV (OWNER)
- **Authorized official phone:** (423) 821-3866

## Contact information

- **Practice address:** 200 SYLVAN DR, LOOKOUT MOUNTAIN, TN 37350-1630
- **Practice address phone:** (423) 821-3866
- **Mailing address:** PO BOX 80033, CHATTANOOGA, TN 37414-7033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 11/03/2017