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Organization

OLIVIA F MULLIGAN, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLIVIA F MULLIGAN MD (PRESIDENT)
(770) 979-4236
Entity
Organization

Contact information

Practice address
2121 FOUNTAIN DR, SUITE F, SNELLVILLE, GA 30078-7023
(770) 979-4236
(770) 979-4401
Mailing address
2121 FOUNTAIN DR, SUITE F, SNELLVILLE, GA 30078-7023
(770) 979-4236
(770) 979-4401

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19973
GA

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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