IndividualActive
Justin Mullner, MD
NPI 1033422340 · Sports Medicine (Family Medicine) Physician · Columbia, SC
Provider details
- NPI number
- 1033422340
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME148244 (FL)
Practice location
3209 Colonial Drive
Family Medicine Department
Columbia, SC 29203
Phone: (803) 434-6116
Fax: (803) 434-8545
Mailing address
1222 S Orange Ave
Orlando, FL 32806-1215
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.