Individual
JUSTIN ANDREW MULLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 COLONIAL DRIVE, FAMILY MEDICINE DEPARTMENT, COLUMBIA, SC 29203
(803) 434-6116
(803) 434-8545
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(803) 434-6116
(803) 434-8545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL32987
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME148244
FL
Other
Enumeration date
07/16/2010
Last updated
12/23/2020
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