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Marquetta Bullard
NPI 1558018937 · on the registry since 2022 · sole proprietor
Practice
- Address
- 659 Wren Walk
Stone Mountain, GA 30087 - Phone
- (404) 429-1470
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-09
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