Olivia F Mulligan, MD, PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

19973 Issued in GA

Legal business name

OLIVIA F MULLIGAN, MD, PC

Practice address

2121 Fountain Dr
Suite F
Snellville, GA 30078-7023

Phone

(770) 979-4236

Fax

(770) 979-4401

NPI assigned

Sep 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olivia F Mulligan, MD

Title

President

Phone

(770) 979-4236

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1902157423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787023",
            "telephone_number": "770-979-4236",
            "fax_number": "770-979-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787023",
            "telephone_number": "770-979-4236",
            "fax_number": "770-979-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA F MULLIGAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-979-4236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "19973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Okoro, MD
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• Brianna Olaniyan, CLD
• Charetta Shawnette Oliver, PT, DPT
• Maureen Lee Olson, MD
• Oby Omesiete, RN
• Helen Omorogbe
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• Onebutton1

• Endocrinology, Diabetes & Metabolism Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.