Individual
DR. DANIEL ASHLEY MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 718-1122
(770) 535-7445
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(707) 718-1122
(770) 535-4786
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
060414
GA
208600000X
Surgery Physician
26933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01162479
AMERIGROUP
GA
01
—
2448767
UNITED HEALTHCARE
GA
05
—
269337
—
SC
01
—
4066030
CIGNA
GA
01
—
429270
WELLCARE
GA
01
—
52162699
BCBS
GA
05
—
530057171A
—
GA
05
—
530057171B
—
GA
05
—
530057171C
—
GA
05
—
530057171D
—
GA
01
—
9223107
AETNA
GA
01
—
P00219012
RAILROAD MEDICARE
SC
01
—
P00633303
MEDICARE RAILROAD
GA
Enumeration date
02/06/2006
Last updated
05/22/2024
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