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Individual

ADAM MULLET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2130 ROSALIND AVE SW, ROANOKE, VA 24014-1718
(540) 589-7807
Mailing address
96 JONATHAN LUCAS ST STE 601, CHARLESTON, SC 29425-8900

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101280463
VA
2084P0800X
Psychiatry Physician
84567
SC

Other

Enumeration date
06/17/2020
Last updated
05/14/2024
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