Basic Information
| Provider Information | |||||||||
| NPI: | 1568759207 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MULHERIN | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | JOSEPH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 MEDICAL PARK | ||||||||
| Address2: | STE. 208-OB/GYN | ||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037794928 | ||||||||
| FaxNumber: | 8034344699 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 MEDICAL PARK | ||||||||
| Address2: | STE. 208- OB/GYN | ||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037794928 | ||||||||
| FaxNumber: | 8034344699 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2011 | ||||||||
| LastUpdateDate: | 06/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 33453 | NE | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207RC0200X | S3426 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207V00000X | LL33848 | SC | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207P00000X | S3426 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.