Individual
PAUL WILSON MCMULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 22ND AVE NORTH, SUITE 400, NASHVILLE, TN 37203
(615) 329-5144
(615) 284-4964
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7260
(615) 284-7501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
48723
TN
207RI0011X
Interventional Cardiology Physician
48723
TN
207RI0011X
Interventional Cardiology Physician
MD.200424
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529578
—
TN
01
—
6012023
BCBS
TN
01
—
P01376953
RR MEDICARE
TN
Enumeration date
05/20/2006
Last updated
07/10/2018
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