Mullen, Thomas N

Mullen, Thomas N is an sole proprietor health care provider with primary practice located at 126 Sequoyah Trl , Ringgold GA 30736-4360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mullen, Thomas N can be contacted via phone (706) 965-2179.

Contact Information

Primary practice address
126 Sequoyah Trl Ringgold GA 30736-4360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39882 Georgia

Profile Details

NPI number 1174520837
LBN Legal business name Mullen, Thomas N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Aug 9th, 2010 - about 14 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 1174520837 NPPES
Georgia MEDICAID 000645169C

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