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Organization
HARTSVILLE DIAGNOSTIC ASSOCIATES PA
Active
Organization
HARTSVILLE DIAGNOSTIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EUGENE BULLARD JR. M. D. (PRESIDENT)
(843) 621-7546
Entity
Organization
Contact information
Practice address
214 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 621-7546
Mailing address
PO BOX 1437, HARTSVILLE, SC 29551-1437
(843) 621-7546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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