Mullins, Kendall Clark

Mullins, Kendall Clark is an individual health care provider with primary practice located at 9220 Marne Rd , Fort Moore GA 31905-5515. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mullins, Kendall Clark can be contacted via phone (706) 682-3938.

Contact Information

Primary practice address
9220 Marne Rd Fort Moore GA 31905-5515
Phone: (706) 682-3938
Fax: (706) 682-3931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-779-TA-718 Alabama
Eye and Vision Services Providers / Optometrist 152W00000X OPT001400 Georgia

Profile Details

NPI number 1144364043
LBN Legal business name Mullins, Kendall Clark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated May 23rd, 2024 - about 2 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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