Individual
MEREDITH MULLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1401 SPARTA ST, MCMINNVILLE, TN 37110
(931) 473-8468
Mailing address
1401 SPARTA ST, MC MINNVILLE, TN 37110-1301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000165967
TN
Other
Enumeration date
12/30/2008
Last updated
12/31/2009
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