Individual
CHARLES MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(304) 523-4673
Mailing address
6305 E PEA RIDGE RD, HUNTINGTON, WV 25705-2525
(304) 910-8769
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-945
WV
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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