Mulligan, Olivia F
Mulligan, Olivia F is an sole proprietor health care provider with primary practice located at 2121 Fountain Drive Suite F, Snellville GA 30078-2900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Mulligan, Olivia F can be contacted via phone (770) 979-4236.Contact Information
Primary practice address
2121 Fountain Drive Suite F
Snellville GA 30078-2900
Phone: (770) 979-4236
Fax: (770) 979-4401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 19973 | Georgia |
Profile Details
NPI number | 1184728255 |
---|---|
LBN Legal business name | Mulligan, Olivia F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 11th, 2006 |
Last updated | Aug 8th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184728255 | NPPES |
Georgia | MEDICAID | 00160619C |
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