Individual
CHAD N MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 CHESTER AVE, GREAT FALLS, SC 29055-1219
(704) 970-8237
Mailing address
513 CHESTER AVE, GREAT FALLS, SC 29055-1219
(704) 970-8237
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
SC
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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