Individual
MARY DECKER MULBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2140
Mailing address
PO BOX 63345, CHARLOTTE, NC 28263-3345
(843) 795-7196
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
14788
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147889
—
SC
01
—
P00290694
RAILROAD
SC
Enumeration date
05/08/2006
Last updated
10/09/2014
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