Mullis, Garrick Brent
Mullis, Garrick Brent is an individual health care provider with primary practice located at 1028 Lee Ann Dr Ne Suite 200, Concord NC 28025-2911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mullis, Garrick Brent can be contacted via phone (704) 782-1892.Contact Information
Primary practice address
1028 Lee Ann Dr Ne Suite 200
Concord NC 28025-2911
Phone: (704) 782-1892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200400719 | North Carolina |
Profile Details
| NPI number | 1427006865 |
|---|---|
| LBN Legal business name | Mullis, Garrick Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 21st, 2013 - about 11 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 | 1427006865 | NPPES |
| South Carolina | MEDICAID | 232279 | |
| South Carolina | Other | 136YH | |
| South Carolina | MEDICAID | 89136YH |
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