Individual
JEFFREY BRYAN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1120 N OCOEE ST, CLEVELAND, TN 37311-4475
(423) 614-8462
(423) 614-8438
Mailing address
1511 20TH ST NW, CLEVELAND, TN 37311-1522
(423) 364-0169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000593
TN
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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