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DR. NICHOLAS HARDING MULLINS OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1508430042

Individual Registrant:
DR. NICHOLAS HARDING MULLINS OD
Gender: M
Sole Proprietor

Location and contact information for practice:
1609 GILMER AVE  TALLASSEE, AL 36078-2343 US
Tel: 334-283-6535  Fax: --

Contact information for business:
1609 GILMER AVE  TALLASSEE, AL 36078-2343 US
Tel: 334-283-6535  Fax: --

Registration Information:
NPI: 1508430042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
ALS-E79-TA-C18

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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