Individual
MS. CAREY MARIE MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
Mailing address
133 WEST BLVD, MOULTRIE, GA 31768-5863
(229) 921-1464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN270809
GA
363LF0000X
Family Nurse Practitioner
Primary
RN270809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
TAXONOMY
GA
Enumeration date
08/22/2023
Last updated
10/27/2023
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