Mullaly, Colin Michael
Mullaly, Colin Michael is an individual health care provider with primary practice located at 3278 Mitchell Blvd , Moody Afb GA 31699-1500. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Mullaly, Colin Michael can be contacted via phone (229) 257-7569.Contact Information
Primary practice address
3278 Mitchell Blvd
Moody Afb GA 31699-1500
Phone: (229) 257-7569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1912481656 |
|---|---|
| LBN Legal business name | Mullaly, Colin Michael |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2018 |
| Last updated | Sep 22nd, 2023 - about last year |
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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