Individual
STEPHEN TREY MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 VERDAE BLVD STE A, GREENVILLE, SC 29607
(864) 240-5054
(860) 240-5055
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-00397
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2016-00397
NC
207RR0500X
Rheumatology Physician
Primary
MD52401
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2009
Last updated
06/29/2021
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