Blake, Opal Mullings

Blake, Opal Mullings is an individual health care provider with primary practice located at 631 Professional Dr Ste 350 , Lawrenceville GA 30046-3370. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blake, Opal Mullings can be contacted via phone (770) 995-0630.

Contact Information

Primary practice address
631 Professional Dr Ste 350 Lawrenceville GA 30046-3370
Phone: (770) 995-0630
Fax: (770) 995-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 199200 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN199200 Georgia

Profile Details

NPI number 1043629140
LBN Legal business name Blake, Opal Mullings
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2014
Last updated Jan 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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