Individual
DR. JAMES PATRICK MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501
(770) 219-9611
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY002531
GA
103TC0700X
Clinical Psychologist
PSY002531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000964323A
—
GA
05
—
000964323B
—
GA
Enumeration date
12/05/2006
Last updated
10/08/2021
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