Individual
MR. JEREMY D MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. R.D.
Contact information
Practice address
MEDABOLIX INC 600 TRACY WAY, SUITE 200, CHARLESTON, WV 25311
(304) 347-4313
(304) 347-4316
Mailing address
101 29TH ST SE, UNIT 15, CHARLESTON, WV 25304-1149
(304) 347-4313
(304) 347-4316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WV
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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