Mullins, Kendall Clark
Mullins, Kendall Clark is an individual health care provider with primary practice located at 9220 Marne Rd , Fort Moore GA 31905-5515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mullins, Kendall Clark can be contacted via phone (706) 682-3938.Contact Information
Primary practice address
9220 Marne Rd
Fort Moore GA 31905-5515
Phone: (706) 682-3938
Fax: (706) 682-3931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-779-TA-718 | Alabama |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001400 | Georgia |
Profile Details
| NPI number | 1144364043 |
|---|---|
| LBN Legal business name | Mullins, Kendall Clark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | May 23rd, 2024 - 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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