Individual
REBECCA MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 COLONNADES HILL DR, CHARLOTTESVILLE, VA 22901-2204
(434) 924-1212
(434) 295-6311
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101270026
VA
Other
Enumeration date
04/13/2015
Last updated
07/31/2021
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