Individual
MISS VALERIE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
438 E VANN RD, SUITE 100, GREENEVILLE, TN 37743-7202
(423) 278-1741
(423) 278-1742
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524312
—
TN
01
—
4306949
BCBS OF TN
TN
05
—
8102546
—
NC
01
—
P00990206
RR MEDICARE
TN
Enumeration date
05/16/2011
Last updated
06/18/2015
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