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LEE ASHLEY MULLINAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 DOCTORS DR, GREENVILLE, SC 29605-5622
(864) 797-7100
(864) 797-7105
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4536

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
29450
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G55149
SC
01
P00900016
RR MEDICARE
SC
Enumeration date
06/18/2006
Last updated
09/30/2016
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