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Individual

ASHLEY SOUZA MULLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
610 3RD ST STE 101, MACON, GA 31201-3293
(478) 464-2600
(478) 238-8501
Mailing address
610 3RD ST STE 101, MACON, GA 31201-3293
(478) 464-2600
(478) 238-8501

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN279230
GA

Other

Enumeration date
04/17/2023
Last updated
10/26/2025
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