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Individual
ANN KATHLEEN BULLOCK
Active
Individual
ANN KATHLEEN BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39400
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1199W
BCBSNC
NC
05
—
1750420733
—
NC
05
—
891199W
—
NC
Enumeration date
02/06/2007
Last updated
03/07/2023
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