George Bullard JR. M.D.

NPI 1003824764 - Family Medicine - 207Q00000X

NPI Details
NPI 1003824764
Gender Male
Enumeration Date 08/04/2006
Last Updated 12/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1120 FIRST COLONIAL RD
SUITE 100
VIRGINIA BEACH VA, 23454-2418, US
Phone (757) 481-2333
Fax (757) 481-1037
Business Location
1120 FIRST COLONIAL RD
SUITE 100
VIRGINIA BEACH VA, 23454-2418, US
Phone (757) 481-2333
Fax (757) 481-1037
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101036820
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According to our database, Dr. George Bullard JR. M.D. NPI is 1003824764, taxonomy code is 207Q00000X and license number is 0101036820, license state is located at Virginia. George Bullard JR. M.D. physically located at 1120 First Colonial Rd, Virginia Beach VA, 23454-2418. NPI Number George Bullard JR. M.D. has the Individual type.

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1003824764 NPI number is provided on an as is basis without warranty of any kind. 1003824764 is maintained by the National Plan & Provider Enumeration System. The contents of George Bullard JR. M.D. are for informational purposes only.