Dr. Mmonowar H Mullick , MD
Specialist • Stockbridge, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mmonowar Mullick has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mmonowar Mullick, MD was a registered Specialist practicing in Stockbridge, GA. Throughout an active medical career spanning 17 years, Dr. Mullick provided care at the practice location at 135 EAGLES WALK until profile deactivation on 2022-05-17.
Practice Location & Contact Primary Location
135 Eagles Walk
Suite 200
Stockbridge, GA 302817206
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Stockbridge, GA
Practicing in Stockbridge, GA (979 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 17, 2022
NPI status registered as active in NPPES database
Registered at 135 EAGLES WALK, SUITE 200, STOCKBRIDGE, GA 302817206 (Tel: 7703898950)
Registered at 424 ABBEY SPRINGS WAY, MCDONOUGH, GA 302534009 (Tel: 7703898950)
Recorded as MMONOWAR MULLICK, M.D.
Specialist (License #048679 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
424 Abbey Springs Way
Mcdonough, GA 302534009
Phone: 7703898950
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