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Individual

DR. DANIEL KAST MULLADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1139 LEXINGTON AVE STE A, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Mailing address
1139 LEXINGTON AVE STE A, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
91385
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206378200
MO
Enumeration date
04/02/2007
Last updated
08/01/2022
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