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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427006865 NPPES
South Carolina MEDICAID 232279
South Carolina Other 136YH
South Carolina MEDICAID 89136YH

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