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Individual
MR. TY A. BULLINGTON
Active
Individual
MR. TY A. BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP242862
GA
Other
Enumeration date
06/09/2008
Last updated
10/22/2025
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