Individual
DR. ANTHONY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HAILE AND ROBERTS STREET, KERSHAW MEDICAL CENTER-EMERGENCY DEPT, COLUMBIA, SC 29020
(502) 548-8322
Mailing address
HAILE AND ROBERTS STREET, KERSHAW MEDICAL CENTER-EMERGENCY DEPT, COLUMBIA, SC 29020
(502) 548-8322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34148
SC
207P00000X
Emergency Medicine Physician
42736
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200961840
—
IN
01
—
42736
LICENSE
KY
05
—
7100015100
—
KY
Enumeration date
02/15/2007
Last updated
03/07/2023
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