Individual
MELEA LENORE MULLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1107 14TH AVE SE STE 200, DECATUR, AL 35601-3354
(256) 705-4224
(256) 705-4135
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1585
AL
Other
Enumeration date
01/20/2020
Last updated
01/27/2023
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