Individual
SHELIA A MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RT. 460, SHORTRIDGE BLD., GRUNDY, VA 24614-2115
(276) 935-4151
(276) 935-4151
Mailing address
PO BOX 2115, GRUNDY, VA 24614-2115
(276) 935-4151
(276) 935-4151
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1398
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009281045
—
VA
Enumeration date
10/12/2006
Last updated
02/24/2009
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