Kelli Mullen, OD | |
5901 U S Highway 49, Hattiesburg, MS 39402-2858 | |
(601) 268-6698 | |
Not Available |
Full Name | Kelli Mullen |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 9 Years |
Location | 5901 U S Highway 49, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982056198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 939 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Corinth Eye Clinic, Inc | 0941369649 | 3 |
Provider Name | Corinth Eye Clinic, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053506683 PECOS PAC ID: 0941369649 Enrollment ID: O20081111000067 |
Mailing Address | Practice Location Address |
---|---|
Kelli Mullen, OD 31 Parkridge Rd, Purvis, MS 39475-5837 Ph: (662) 983-9205 | Kelli Mullen, OD 5901 U S Highway 49, Hattiesburg, MS 39402-2858 Ph: (601) 268-6698 |
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