Mullinax, Crystal Suzanne

Mullinax, Crystal Suzanne is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mullinax, Crystal Suzanne can be contacted via phone (864) 455-3287.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 455-3287
Fax: (864) 455-5723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 22421 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22421 South Carolina

Profile Details

NPI number 1013473107
LBN Legal business name Mullinax, Crystal Suzanne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2019
Last updated Feb 7th, 2024 - about 10 months 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 1013473107 NPPES
South Carolina MEDICAID NP5880

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