Doctor Name: | JOSEPH P MULLEN |
NPI Number: | 1114970548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 009300769 |
Business Practice Address: | 201 E Grover St Shelby, NC - 281503917 |
Business Phone Number: | 7044801087 |
Business Fax Number: | 7044801150 |
Mailing Address: | 406 Johnsfield Rd, SHELBY |
State: | NC |
Postal Code: | 281506174 |
Phone Number: | 7044807678 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 009300769 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |