Individual
JAMES MICHAEL MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 473-9102
(757) 473-9102
Mailing address
4412 BARKINGDALE DR, VIRGINIA BEACH, VA 23462-4648
(757) 473-9102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-005783
VA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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