Individual
MS. CHARLENE D MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 WALLACE DRIVE, EASTERLING CORRECTIONAL FACILITY (WEXFORD HEALTH), CLIO, AL 36017
(334) 397-4470
Mailing address
99 COUNTY ROAD 50, TUSKEGEE, AL 36083-5537
(334) 727-4917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-134373
AL
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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