SearchGeorgia106S00000X

Evenna Bullock

NPI 1235839507 · on the registry since 2023

Practice

Address
3355 Lenox Rd Ne Ste 750
Atlanta, GA 30326
Phone
(470) 682-3536
Fax
(470) 682-3646
Organisation at this address
Medtex Llc
Dwc-Nemt Llc
Madequest Llc
Georgia Phs Pc
Psychcicle Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2023-03-06

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