Individual
DR. MICHAEL JACOB MULBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 867-6505
(706) 867-6505
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50725
GA
207Q00000X
Family Medicine Physician
Primary
050725
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000938803E
—
GA
01
—
P00318980
RAILROAD MEDICARE
GA
Enumeration date
05/17/2006
Last updated
08/08/2022
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