Individual
DR. PAUL T GULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4300-C MIDMOST DRIVE, MOBILE, AL 36609
(251) 342-0479
Mailing address
4300-C MIDMOST DRIVE, MOBILE, AL 36609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0972
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51071221
BC/BS
AL
Enumeration date
10/02/2006
Last updated
07/08/2007
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