Individual
BILLY JOE MULLINAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
90899
GA
207RC0000X
Cardiovascular Disease Physician
96036
SC
207RI0011X
Interventional Cardiology Physician
Primary
96036
SC
390200000X
Student in an Organized Health Care Education/Training Program
11214
GA
Other
Enumeration date
03/16/2019
Last updated
07/28/2026
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