Individual
ANTHONY L. MULLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2131
(706) 721-1459
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
033411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428436A
—
GA
05
—
G07274
—
SC
Enumeration date
08/30/2006
Last updated
03/18/2014
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