Individual
DR. EMORY ALLEN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1490 PARK AVE NW, SUITE 3, NORTON, VA 24273-1631
(276) 679-8890
(276) 679-9740
Mailing address
PO BOX 5127, JOHNSON CITY, TN 37602-5127
(423) 302-1350
(423) 952-2145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056009
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154399947
—
VA
05
—
6466754600
—
KY
01
—
P00686081
RR MEDICARE
VA
Enumeration date
03/09/2006
Last updated
03/11/2016
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