Provider Demographics
NPI:1679607246
Name:MULLINS, JULIE ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:MULLINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1165 HIGHWAY 1 S STE 500
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-8966
Mailing Address - Country:US
Mailing Address - Phone:803-438-0825
Mailing Address - Fax:803-438-0817
Practice Address - Street 1:1165 HIGHWAY 1 S STE 500
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-8966
Practice Address - Country:US
Practice Address - Phone:803-438-0825
Practice Address - Fax:803-438-0817
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2018-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC806207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology