Individual
DR. DAVID S MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3526
(304) 766-5941
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3526
(304) 766-5941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23337
WV
208000000X
Pediatrics Physician
23337
WV
Other
Enumeration date
05/30/2007
Last updated
09/22/2011
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