Individual
BRYAN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MAIN ST, SUITE 31, DOTHAN, AL 36305-1054
(334) 793-6511
(334) 793-4697
Mailing address
4300 W MAIN ST, DOTHAN, AL 36305-1054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27116
AL
Other
Enumeration date
05/18/2007
Last updated
03/12/2010
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