Individual
ALIE MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 PINE ST STE L40, MACON, GA 31201-7521
(478) 633-1190
Mailing address
205 ROBBIE CT, WARNER ROBINS, GA 31088-2356
(706) 346-9605
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9408
GA
Other
Enumeration date
09/19/2019
Last updated
10/29/2020
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