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Contact Information

THEODORE MCMULLEN III, CRNA
616 19TH ST
COLUMBUS, GA31901-1528
 Phone: 706-494-4262
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for THEODORE MCMULLEN III · (Male)

NPI # 1346314689
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/20/2006
Last updated 10/06/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN186965
  • GA Other 073260 AANA CERT
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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