Individual
JOSEPH P MULLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 480-1087
(704) 480-1150
Mailing address
406 JOHNSFIELD RD, SHELBY, NC 28150-6174
(704) 480-7678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
009300769
NC
207P00000X
Emergency Medicine Physician
Primary
9300769
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61311
BSNC
NC
05
—
7961311
—
NC
Enumeration date
05/18/2006
Last updated
02/26/2016
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