Individual
DR. RICHARD M MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 815-1362
(601) 815-7623
Mailing address
409-A CLIFTON ROAD, N.E., ATLANTA, GA 30307-1705
(410) 375-2137
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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