Individual
DR. THOMAS N MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
126 SEQUOYAH TRL, RINGGOLD, GA 30736-4360
(706) 965-2179
Mailing address
738 DEODARA DR, ALTADENA, CA 91001-2310
(626) 676-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39882
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000645169C
—
GA
Enumeration date
07/07/2005
Last updated
08/09/2010
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