Provider Demographics
NPI:1265963938
Name:MCMULLEN, DAVID JAMES (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JAMES
Last Name:MCMULLEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3320 EXECUTIVE DR STE 214
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7489
Mailing Address - Country:US
Mailing Address - Phone:919-878-8596
Mailing Address - Fax:919-878-0744
Practice Address - Street 1:3320 EXECUTIVE DR STE 214
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7489
Practice Address - Country:US
Practice Address - Phone:919-878-8596
Practice Address - Fax:919-878-0744
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC227060207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine