Individual
GARY JOHN MULLEN JR.
Active
Individual
GARY JOHN MULLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101268133
VA
207L00000X
Anesthesiology Physician
Primary
2009-01922
NC
207L00000X
Anesthesiology Physician
52400
SC
207L00000X
Anesthesiology Physician
88020
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156HK
BLUECROSS BLUESHIELD OF NC
NC
01
—
225134
MEDCOST
NC
05
—
5913427
—
NC
01
—
P00794665
RAILROAD MEDICARE
NC
Enumeration date
02/28/2006
Last updated
04/02/2026
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