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DR. NICHOLAS HARDING MULLINS OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1508430042
Individual Registrant:DR. NICHOLAS HARDING MULLINS OD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1609 GILMER AVE TALLASSEE, AL 36078-2343 US
Tel: 334-283-6535 Fax: --
Tel: 334-283-6535 Fax: --
Contact information for business:
1609 GILMER AVE TALLASSEE, AL 36078-2343 US
Tel: 334-283-6535 Fax: --
Tel: 334-283-6535 Fax: --
Registration Information:
NPI: 1508430042
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | AL | S-E79-TA-C18 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
