Larry Mullis JR., ATC, LAT
NPI #1033267521 in Milledgeville, Georgia
Provider Information
- NPI Number
- 1033267521
- Entity Type
- Individual
- Name
- Larry Mullis JR., ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1203 COLUMBIA DR
- City
- Milledgeville
- State
- Georgia
- ZIP Code
- 31061-2395
- Phone
- (478) 452-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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