Individual
DR. KENDALL CLARK MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9220 MARNE RD, FORT MOORE, GA 31905-5515
(706) 682-3938
(706) 682-3931
Mailing address
70 COUNTY ROAD 941, CLANTON, AL 35045-7979
(205) 585-6461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001400
GA
152W00000X
Optometrist
S-779-TA-718
AL
Other
Enumeration date
02/16/2007
Last updated
05/23/2024
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