Doctor Name: | MARY MULVEY |
NPI Number: | 1043636087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R83686 |
Business Practice Address: | 4050 Bridge View Dr Ste 600 North Charleston, SC - 294057488 |
Business Phone Number: | 8439530272 |
Business Fax Number: | |
Mailing Address: | 4050 Bridge View Dr, Ste 600 NORTH CHARLESTON |
State: | SC |
Postal Code: | 294057488 |
Phone Number: | 8439530272 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2014 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R83686 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |