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Individual

TIMOTHY H MULLINIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
227 HOSPITAL DR, JACKSON, AL 36545-2423
(251) 246-4446
(251) 246-5111
Mailing address
PO BOX 639, 227 HOSPITAL DRIVE, JACKSON, AL 36545-0639
(251) 246-4446
(251) 246-5111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-064044
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529700760
AL
Enumeration date
07/29/2005
Last updated
03/31/2011
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