Christina Marie Bullard P.A.

NPI 1578866075 - Physician Assistant - 363AM0700X

NPI Details
NPI 1578866075
Gender Female
Enumeration Date 12/06/2010
Last Updated 06/22/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
2700 PROVIDENCE RD S
SUITE 180
WAXHAW NC, 28173-6313, US
Phone (704) 863-8750
Fax (704) 667-6701
Business Location
PO BOX 601888
CHARLOTTE NC, 28260-1888, US
Phone (704) 863-8750
Fax (704) 316-7745
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 0010-02596
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According to our database, Christina Marie Bullard P.A. NPI is 1578866075, taxonomy code is 363AM0700X and license number is 0010-02596, license state is located at North Carolina. Christina Marie Bullard P.A. physically located at 2700 Providence Rd S, Waxhaw NC, 28173-6313. NPI Number Christina Marie Bullard P.A. has the Individual type.

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1578866075 NPI number is provided on an as is basis without warranty of any kind. 1578866075 is maintained by the National Plan & Provider Enumeration System. The contents of Christina Marie Bullard P.A. are for informational purposes only.