Individual
OLIVIA F MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 FOUNTAIN DRIVE, SUITE F, SNELLVILLE, GA 30078-2900
(770) 979-4236
(770) 979-4401
Mailing address
2121 FOUNTAIN DRIVE, SUITE F, SNELLVILLE, GA 30078-2900
(770) 979-4236
(770) 979-4401
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00160619C
—
GA
Enumeration date
09/11/2006
Last updated
08/08/2012
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