Mullis, Laura

Mullis, Laura is an individual health care provider with primary practice located at 777 Hemlock St Hospital Box 64, Macon GA 31201-2102. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mullis, Laura can be contacted via phone (478) 633-2097.

Contact Information

Primary practice address
777 Hemlock St Hospital Box 64 Macon GA 31201-2102
Phone: (478) 633-2097
Fax: (478) 633-7836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN123086 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN123086 Georgia

Profile Details

NPI number 1427002294
LBN Legal business name Mullis, Laura
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 4th, 2020 - about 4 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 1427002294 NPPES
Georgia MEDICAID 577917113A

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