Individual
GINGER DANIELLE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 BROAD ST STE 140, CHATTANOOGA, TN 37408-1834
(423) 493-5240
(423) 493-5241
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386
PHYSICAN ASSISTANT LICENS
TN
Enumeration date
10/11/2006
Last updated
09/15/2022
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