Individual provider · Type 1 NPI

Richard M. Mullaney, MD

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1922367614 Active

Practice location

2500 North State Street
Jackson, MS 39216

Call (601) 815-1362 Map

Fax (601) 815-7623

Mailing address

409-A Clifton Road, N.e.
Atlanta, GA 30307-1705

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922367614

Richard M. Mullaney, MD's National Provider Identifier is 1922367614, issued on May 15, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on May 15, 2012.