Mullen, Gary John

Mullen, Gary John is an individual health care provider with primary practice located at 2080 W Arlington Blvd Ste B , Greenville NC 27834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mullen, Gary John can be contacted via phone (252) 752-2140.

Contact Information

Primary practice address
2080 W Arlington Blvd Ste B Greenville NC 27834
Phone: (252) 752-2140
Fax: (252) 689-6502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101268133 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 88020 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 52400 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2009-01922 North Carolina

Profile Details

NPI number 1093782955
LBN Legal business name Mullen, Gary John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 8th, 2021 - about 4 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 1093782955 NPPES
North Carolina Other 225134 MEDCOST
North Carolina MEDICAID 5913427 MEDCOST
North Carolina Other P00794665 MEDCOST
North Carolina Other 156HK MEDCOST

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