Provider Demographics
NPI:1518942184
Name:MULLINS, WILLIAM WILSON (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:WILSON
Last Name:MULLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6001 MONTROSE RD
Mailing Address - Street 2:SUITE 702
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4817
Mailing Address - Country:US
Mailing Address - Phone:301-230-5888
Mailing Address - Fax:301-230-2488
Practice Address - Street 1:6001 MONTROSE RD
Practice Address - Street 2:SUITE 702
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-4817
Practice Address - Country:US
Practice Address - Phone:301-230-5888
Practice Address - Fax:301-230-2488
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD29196207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409896Medicare PIN
MDC89131Medicare UPIN