Provider Demographics
NPI:1629030077
Name:MCMULLAN, FRANCES D (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:D
Last Name:MCMULLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 PARKSIDE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3732
Mailing Address - Country:US
Mailing Address - Phone:404-233-0422
Mailing Address - Fax:
Practice Address - Street 1:2538 PARKSIDE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3732
Practice Address - Country:US
Practice Address - Phone:404-233-0422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021751207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000266428AMedicaid
GA000266428AMedicaid
GAD30200Medicare UPIN