Provider Demographics
NPI:1801988464
Name:MCMULLAN, EDDRICE MICHELE (MD)
Entity type:Individual
Prefix:
First Name:EDDRICE
Middle Name:MICHELE
Last Name:MCMULLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6900 HOWELLS FERRY RD LOT 6
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36618-3141
Mailing Address - Country:US
Mailing Address - Phone:251-344-5466
Mailing Address - Fax:251-471-7042
Practice Address - Street 1:1700 CENTER ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3301
Practice Address - Country:US
Practice Address - Phone:251-415-1650
Practice Address - Fax:251-415-1124
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2023-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL19660207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology