Individual
JONATHAN WAYNE MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
550 REDMOND RD NW, ROME, GA 30165-1416
(762) 235-3200
(706) 233-8503
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003664
GA
Other
Enumeration date
02/08/2019
Last updated
07/30/2025
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