Individual
WILLIAM THOMAS MULLIGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2409 N PATTERSON ST # F3, VALDOSTA, GA 31602-2512
(229) 433-8160
Mailing address
3729 BEMISS KNIGHTS ACADEMY RD, VALDOSTA, GA 31605-7708
(229) 292-9990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN292997
GA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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