Individual
CAROL M MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7208 HODGSON MEMORIAL DR, SAVANNAH, GA 31406-2512
(803) 278-2473
(803) 278-2473
Mailing address
PO BOX 3330, AUGUSTA, GA 30914-3330
(803) 278-2473
(803) 278-2473
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
026003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000276284C
—
GA
01
—
581638217
TAX ID
GA
Enumeration date
01/16/2007
Last updated
01/16/2016
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