Organization
NATHAN HALE MULL, IV, MD., PC
Active
Organization
NATHAN HALE MULL, IV, MD., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN H MULL IV MD (OWNER)
(706) 866-7762
Entity
Organization
Contact information
Practice address
83 CRYE LEIKE DR, FT OGLETHORPE, GA 30742-4055
(706) 866-7762
(423) 495-7887
Mailing address
83 CRYE LEIKE DR, FT OGLETHORPE, GA 30742-4055
(706) 866-7762
(423) 495-7887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46626
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
46626
GA
207RP1001X
Pulmonary Disease Physician
46626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588653208
NPI NUMBER
TN
Enumeration date
01/03/2007
Last updated
09/11/2025
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