Individual
DR. SUSAN CHRISTINE MULLOOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1535 SLATE CREEK RD, GRUNDY, VA 24614-6974
(276) 935-1000
Mailing address
2520 VALLEY DR, POINT PLEASANT, WV 25550-2031
(304) 675-4340
(304) 675-6911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102206990
VA
207P00000X
Emergency Medicine Physician
2946
WV
207R00000X
Internal Medicine Physician
OT015417
PA
Other
Enumeration date
05/23/2013
Last updated
09/27/2022
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