Individual
SCOTT M MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014
Mailing address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01042786
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087835
ANTHEM PIN #
IN
05
—
200006500
—
IN
Enumeration date
07/17/2006
Last updated
07/21/2022
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