Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN CHRISTINE MULLOOLY, D.O.
ActiveDR. SUSAN CHRISTINE MULLOOLY, D.O. is a Emergency Medicine healthcare provider located in GRUNDY, Virginia. NPI 1740627363 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · GRUNDY, VA
Registration Details
- NPI Number
- 1740627363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2013 (13.243786686001 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
2946 (WV)0102206990 (VA)OT015417 (PA)
Practice Information
- Address
-
1535 SLATE CREEK RDGRUNDY, VA, 246146974Browse VA providers · Browse ZIP 24614
- Phone
- 2769351000
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Internal Medicine
Other Emergency Medicine Providers in GRUNDY, VA
| Name | Credential | NPI |
|---|---|---|
| JASON PRATER | DO, PA-C | 1649719014 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.