Thomas Corbin Mullis (NPI# 1174743918, PAC ID# 4688746613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1174743918 |
| PAC ID by PECOS | 4688746613 |
| Professional Enrollment ID | I20080708000157 |
| Full Name | Thomas Corbin Mullis |
| Organization Legal Name | DUBLIN EAR NOSE AND THROAT ASSOCIATES, P.C. |
| Address |
102 Fairview Park Dr Dublin GA 31021-2500 |
| Phone Number | 4782728382 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2003 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3779653654 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 102 Fairview Park Dr, Dublin, GA 31021-2500 | 4782728382 | DUBLIN EAR NOSE AND THROAT ASSOCIATES, P.C. |
| Organization Legal Name | DUBLIN EAR NOSE AND THROAT ASSOCIATES, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa F Gay | Qualified Audiologist | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Paul D Kellam Jr. | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Lana K Lott | Physician Assistant | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Street Address |
102 FAIRVIEW PARK DR |
| City | DUBLIN |
| State | GA |
| Zip | 31021-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa F Gay | Qualified Audiologist | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Paul D Kellam Jr. | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Lana K Lott | Physician Assistant | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Taylor | Geriatric Medicine | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Chaquita M Moore | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Amanda K Smith | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Shelley H Pool | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Laura D Mullis | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Jane B Holleman | Physical Therapy | 612 Country Club Rd, Dublin, GA 31021-0112 | |
| William Alfred Cox | Optometry | 2423 Us Hwy 80 W, C/o The Vision Center, Dublin, GA 31021-0930 | |
| Matthew B Grundfast | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Clarence Martin Christian | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Charity Rena Joiner | Nurse Practitioner | Health Services of Central Georgia | 104 Fairview Park Dr, Suite B, Dublin, GA 31021-2500 |
| Find all physicians in zip 31021 | |||
| City | DUBLIN |
| Zip Code | 31021 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | DUBLIN + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.