Mullinax, Lee Ashley

Mullinax, Lee Ashley is an individual health care provider with primary practice located at 111 Doctors Dr , Greenville SC 29605-5622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Mullinax, Lee Ashley can be contacted via phone (864) 797-7100.

Contact Information

Primary practice address
111 Doctors Dr Greenville SC 29605-5622
Phone: (864) 797-7100
Fax: (864) 797-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29450 South Carolina

Profile Details

NPI number 1073558516
LBN Legal business name Mullinax, Lee Ashley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Sep 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073558516 NPPES
South Carolina MEDICAID G55149
South Carolina Other P00900016

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