Individual
DR. NICHOLAS HARDING MULLINS
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
Mailing address
1609 GILMER AVE, TALLASSEE, AL 36078-2343
(334) 283-6535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E79-TA-C18
AL
Other
Enumeration date
05/19/2021
Last updated
11/16/2021
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