Search › Georgia › 374J00000X
Zaire Bullock
NPI 1801256250 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2062 Lake Forest Dr
Grovetown, GA 30813 - Phone
- (843) 845-7120
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2016-02-28
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