Del Mazo, Deanna Mullis
Del Mazo, Deanna Mullis is an individual health care provider with primary practice located at 1270 Friendship Rd , Braselton GA 30517-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Del Mazo, Deanna Mullis can be contacted via phone (770) 535-0191.Contact Information
Primary practice address
1270 Friendship Rd
Braselton GA 30517-5630
Phone: (770) 535-0191
Fax: (770) 535-0916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME102490 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 68502 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 068502 | Georgia |
Profile Details
| NPI number | 1639380298 |
|---|---|
| LBN Legal business name | Del Mazo, Deanna Mullis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Apr 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639380298 | NPPES |
| Georgia | MEDICAID | 003158173B |
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