Justin Andrew Mullner
Family Doctor Family Doctor - Sports Medicine
3209 Colonial Drive Family Medicine Department
Columbia
, South Carolina 29203
Justin Andrew Mullner
Family Doctor Family Doctor - Sports Medicine
3209 Colonial Drive Family Medicine Department
Columbia
, South Carolina 29203
(803) 434-8545
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Justin Andrew Mullner
- 1222 S Orange Ave
- Orlando, FL
- Zip : 32806-1215
- Fax : (803) 434-8545
- Phone : (803) 434-6116
Second Address
- Justin Andrew Mullner
- 3209 Colonial Drive Family Medicine Department
- Columbia, SC
- Zip : 29203
- Fax : (803) 434-8545
- Phone : (803) 434-6116
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | LL32987 | SC |
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME148244 | FL |
National Provider Identifier
| NPI | 1033422340 |
|---|---|
| Provider Name | Justin Andrew Mullner |
| First Address | Orlando, FL 32806-1215 |
| Second Address | Columbia, SC 29203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2010 |
| Last Update Date | 23/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.