Individual
NORMA J MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3771 ROBERT C BYRD DRIVE, BECKLEY, WV 25801
(304) 255-5710
(304) 255-5702
Mailing address
PO BOX 1307, BECKLEY, WV 25802-1307
(304) 255-5710
(304) 255-5702
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
11394
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084071001
—
WV
01
—
101640
FED DOL
WV
01
—
155372
UMWA FUNDS
WV
01
—
4245813
AETNA
WV
01
—
P00147218
RR MEDI
WV
Enumeration date
07/03/2006
Last updated
07/08/2007
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