Provider Demographics
NPI: | 1568759207 |
---|---|
Name: | MULHERIN, PATRICK JOSEPH (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | PATRICK |
Middle Name: | JOSEPH |
Last Name: | MULHERIN |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2 MEDICAL PARK |
Mailing Address - Street 2: | STE. 208-OB/GYN |
Mailing Address - City: | COLUMBIA |
Mailing Address - State: | SC |
Mailing Address - Zip Code: | 29203 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 803-779-4928 |
Mailing Address - Fax: | 803-434-4699 |
Practice Address - Street 1: | 2 MEDICAL PARK |
Practice Address - Street 2: | STE. 208- OB/GYN |
Practice Address - City: | COLUMBIA |
Practice Address - State: | SC |
Practice Address - Zip Code: | 29203 |
Practice Address - Country: | US |
Practice Address - Phone: | 803-779-4928 |
Practice Address - Fax: | 803-434-4699 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2011-07-01 |
Last Update Date: | 2021-06-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NE | 33453 | 207P00000X |
TX | S3426 | 207RC0200X, 207P00000X |
SC | LL33848 | 207V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |