Individual
DEBORA SUMNER MULLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
818 SAINT SEBASTIAN WAY, SUITE 308, AUGUSTA, GA 30901-2651
(706) 724-4400
Mailing address
PO BOX 420, SWAINSBORO, GA 30401-0420
(706) 830-3544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN065042
GA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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