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Brandon Bullock
NPI 1114560604 · on the registry since 2019
Practice
- Address
- 12050 Highway 92 Ste 116
Woodstock, GA 30188 - Phone
- (770) 516-3072
- Organisation at this address
- The Kroger Co
Independent Physical Therapy Of Ga, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-06
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