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Individual

PARIS MULLINS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1609 GILMER AVE, TALLASSEE, AL 36078-2343
(334) 283-6535
(334) 283-5996
Mailing address
1609 GILMER AVE, TALLASSEE, AL 36078-2343
(334) 283-6535
(334) 283-5996

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-589-TA-064
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000059845
AL
01
0127960001
CIGNA HEALTH CARE
01
13567
SPECTERA
01
2210153
UNITED HEALTH CARE
01
51059845
BCBS OF ALABAMA
01
630920769
VIVA HEALTH CARE
01
AP002263
HEALTH SPRING OF AL
Enumeration date
08/23/2006
Last updated
02/24/2014
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