Individual
DR. STEPHEN CHRISTOPHER MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4231
Mailing address
14275 MIDWAY RD., STE. 400, AUGUSTA, GA 30909-4332
(706) 774-5430
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
028829
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
028829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000385316B
—
GA
05
—
00116498A
—
GA
05
—
128132
—
SC
01
—
52285006
BCBS OF GA
GA
01
—
690009436
MEDICARE RAILROAD
GA
01
—
825525
BCBS OF GEORGIA
GA
01
—
L00129
MEDICAID OF SOUTH CAROLIN
SC
Enumeration date
01/18/2007
Last updated
07/08/2022
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