Individual
THEODORE M MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 FIRST STREET, MACON, GA 31201
(478) 301-5930
(478) 301-5932
Mailing address
1550 COLLEGE STREET, MACON, GA 31207-1554
(478) 301-4111
(478) 301-2387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056152
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00407044
RAILROAD MEDICARE
GA
Enumeration date
10/31/2006
Last updated
02/08/2008
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