SUSAN ANDREA MULLIGAN M.D. NPI 1437112422

NPI Information

NPI: 1437112422
Provider Name: SUSAN ANDREA MULLIGAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
975 JOHNSON FERRY RD NE
SUITE 500
ATLANTA, GA
ZIP 30342
Phone: (404) 255-8086
Get Directions

Susan Andrea Mulligan, M.D. is a diagnostic radiology radiology in Atlanta, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Susan Andrea Mulligan, M.D. NPI is 1437112422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

975 JOHNSON FERRY RD NE
SUITE 500
ATLANTA, GA
ZIP 30342-737
Phone: (404) 255-8086

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	12425	ALABAMA	No
2	2085R0202X	Radiology	Diagnostic Radiology	58084	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	748293523A	MEDICAID	GEORGIA
2	300015346	OTHER	ALABAMA	RAILROAD MEDICARE
3	51521669	OTHER	ALABAMA	BLUE CROSS/BLUE SHIELD
4	51521668	OTHER	ALABAMA	BLUE CROSS/BLUE SHIELD
5	51554749	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
6	E20831	MEDICARE UPIN	ALABAMA
7	30BDMXS	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GEORGIA MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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