Individual
SHAUGHNESSY V MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564
Mailing address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(843) 576-6168
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
158741
SC
208VP0000X
Pain Medicine Physician
15874
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158741
—
SC
Enumeration date
03/09/2006
Last updated
10/21/2016
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