Jonathan T Mullis PA-C

NPI 1396945135 - Physician Assistant - 363AM0700X

NPI Details
NPI 1396945135
Gender Male
Enumeration Date 07/19/2007
Last Updated 08/27/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 FORSYTH ST
MACON GA, 31201-1408, US
Phone (478) 743-3000
Fax (478) 741-9657
Business Location
1600 FORSYTH ST.
MACON GA, 31201-1408, US
Phone (478) 743-3000
Fax (478) 741-9657
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 005099
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According to our database, Mr. Jonathan T Mullis PA-C NPI is 1396945135, taxonomy code is 363AM0700X and license number is 005099, license state is located at Georgia. Jonathan T Mullis PA-C physically located at 1600 Forsyth St, Macon GA, 31201-1408. NPI Number Jonathan T Mullis PA-C has the Individual type.

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1396945135 NPI number is provided on an as is basis without warranty of any kind. 1396945135 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan T Mullis PA-C are for informational purposes only.