Individual
MS. DIANE LANCASTER MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
901 BEECH ST, GOLDSBORO, NC 27530-2922
(919) 739-8266
(919) 739-8656
Mailing address
PO BOX 1798, GOLDSBORO, NC 27533-1798
(919) 739-8266
(919) 739-8656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100206
NC
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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