THEODORE MCMULLEN

COLUMBUS, GA
NPI1346314689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN186965)
Enumeration Date2006-11-20
Last Update Date2007-10-06
Business Address
-- THEODORE MCMULLEN CRNA
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 706-494-4262
Mailing Address
-- THEODORE MCMULLEN CRNA
1509 PINE TREE PL
BIRMINGHAM, AL 35235-2802
Phone number: 706-494-4262