Individual
JONATHAN MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 RIVERWOOD RD, MOORESVILLE, NC 28117-8896
(704) 928-5174
(704) 662-6946
Mailing address
344 ROLLING HILL RD, STE 102, MOORESVILLE, NC 28117-6865
(704) 464-4439
(704) 664-8802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01754
NC
Other
Enumeration date
10/03/2006
Last updated
01/24/2018
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