Individual
MISS MERRYLEE ANN MULLINAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3523 PELHAM RD, SUITE C, GREENVILLE, SC 29615-4191
(864) 306-0966
(864) 306-2544
Mailing address
P.O. BOX 14611, GREENVILLE, SC 29610-4611
(864) 306-0966
(864) 306-2544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
026671622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0091
—
SC
Enumeration date
11/17/2005
Last updated
12/23/2021
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