Susan A. Mulligan M.D.
Diagnostic Radiology Physician in Atlanta, GA(View on Map)
Full Name
Susan Andrea Mulligan M.D.
NPI Number
1437112422
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/10/2006
Specialties
(Taxonomies)Licenses
State
Alabama
Georgia
License Number
12425
58084
Contact
Information
Purpose
Mailing
Location
Address
975 JOHNSON FERRY RD NE
975 JOHNSON FERRY RD NE
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30342-4737
30342-4737
Country
US
US
Telephone Number
(404) 255-8086
(404) 255-8086
Identifiers
Identifier
51521669
300015346
51521668
748293523A
Identifier State
AL
AL
AL
GA
Identifier Issuer
BLUE CROSS/BLUE SHIELD
RAILROAD MEDICARE
BLUE CROSS/BLUE SHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/12/2013