Individual
DR. CHARLES ANDREW MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2557 HIGHWAY 41 S, GREENBRIER, TN 37073-5516
(615) 643-4534
(615) 643-4537
Mailing address
2557 HIGHWAY 41 S, GREENBRIER, TN 37073-5516
(615) 643-4534
(615) 643-4537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3608
TN
207Q00000X
Family Medicine Physician
DO-717
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555830
—
AL
01
—
51527790
BCBS OF AL
AL
01
—
7820309
AETNA
AL
Enumeration date
07/11/2006
Last updated
01/19/2022
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