Organization
ELIZABETH R MULLETT & ASSOCIATES OD PLLC
Active
Other names
PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH REID MULLETT OD (OPTOMETRIST MEMBER MANAGER)
(252) 758-2100
Entity
Organization
Contact information
Practice address
2573 STANTONSBURG RD, GREENVILLE, NC 27834
(252) 758-2100
(252) 758-2103
Mailing address
2573 STANTONSBURG RD, GREENVILLE, NC 27834
(252) 758-2100
(252) 758-2103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909653
—
NC
Enumeration date
12/01/2006
Last updated
08/27/2012
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