Individual
MS. SCARLETT C MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
980 PROFESSIONAL PARK DR, SUITE A, CLARKSVILLE, TN 37040-5251
(931) 905-1001
Mailing address
1715 BOYD RINEHART RD, CLARKSVILLE, TN 37043-8755
(931) 206-9879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1475
TN
Other
Enumeration date
01/25/2007
Last updated
10/15/2010
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