Individual
DR. ELIZABETH REID MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2573 STANTONSBURG RD, GREENVILLE, NC 27834-7213
(258) 275-8210
(252) 758-2103
Mailing address
2573 STANTONSBURG RD, GREENVILLE, NC 27834-7213
(258) 275-8210
(252) 758-2103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5344860001
CIGNA/DMERC PROVIDER ID
NC
05
—
8909653
—
NC
Enumeration date
08/31/2005
Last updated
07/12/2010
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