Individual provider · NPI-1
Wilma Kristine Briones -Mull, M.D.
Family Medicine · Rome, GA
NPI number1013187293
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1013187293
- Entity type
- Individual (NPI-1)
- Name
- Wilma Kristine Briones -Mull
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2008
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 064783 | GA | Yes |
| 207Q00000X | Family Medicine | MD.33703 | AL |
Practice location
302 Shorter Ave NwRome, GA 30165-4268
Phone 706-291-3700 · Fax 706-291-8712
Mailing address
420 E 2nd Ave Ste 103Rome, GA 30161-3210
Phone 706-509-3040
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