Individual
MR. JAMES ADAM MULLENNAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1202 MILL STREET, CAMDEN, SC 29020
(803) 432-1147
(803) 432-1149
Mailing address
6 BOW HUNTER COURT, LUGOFF, SC 29078
(803) 556-3610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4595
SC
Other
Enumeration date
11/09/2006
Last updated
02/28/2013
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