SearchGeorgia106S00000X

Khari Shabazz-Bullen

NPI 1053127167 · on the registry since 2024

Practice

Address
108 Marron Rd
Fayetteville, GA 30215
Phone
(518) 646-3070

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2024-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia