Individual
JOHNNY GLENN MULLINIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, APRN
Contact information
Practice address
371 NEWNAN CROSSING BYP STE 103, NEWNAN, GA 30265-3888
(770) 400-8410
(770) 400-8414
Mailing address
418 FOOT LOG LN, HOGANSVILLE, GA 30230-1145
(706) 668-0136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP188123
GA
Other
Enumeration date
04/09/2019
Last updated
10/09/2025
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