Individual
MR. RANDY MULLINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 BUTLER AVE, MENTAL HEALTH SERVICE, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 264-3989
Mailing address
510 BUTLER AVE, MARTINSBURG VA MED CENTER/ WARD 6A, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 264-3989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00201
WV
Other
Enumeration date
01/12/2006
Last updated
07/11/2007
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