Mull, Michael S

Mull, Michael S is an individual health care provider with primary practice located at 699 Church St Ne Ste 220, Marietta GA 30060-1116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mull, Michael S can be contacted via phone (770) 422-8505.

Contact Information

Primary practice address
699 Church St Ne Ste 220 Marietta GA 30060-1116
Phone: (770) 422-8505
Fax: (770) 424-7449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 025804 Georgia

Profile Details

NPI number 1962477950
LBN Legal business name Mull, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 3rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962477950 NPPES
Georgia Other 323482 WELLCARE
Georgia Other 0700267 WELLCARE
Georgia Other 151069 WELLCARE
Georgia Other 4031243 WELLCARE
Georgia MEDICAID 00279914A WELLCARE
Georgia MEDICAID 00279914D WELLCARE
Georgia Other 1766086-002 WELLCARE
Georgia MEDICAID 00279914B WELLCARE
Georgia Other 10056243 WELLCARE

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