Individual provider · Type 1 NPI

Sally Mulholland

Licensed Practical Nurse · Fort Gordon, GA

NPI number 1629453980 Active

Practice location

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Call (706) 787-3104 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN073902 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1629453980

Sally Mulholland's National Provider Identifier is 1629453980, issued on Jul 28, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 28, 2015.