Individual
MR. JOSEPH SPENCER MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6200
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0063
—
SC
Enumeration date
04/06/2006
Last updated
11/30/2010
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