Individual
DR. GEORGE BULLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 FIRST COLONIAL RD, SUITE 100, VIRGINIA BEACH, VA 23454-2418
(757) 481-2333
(757) 481-1037
Mailing address
1120 FIRST COLONIAL RD, SUITE 100, VIRGINIA BEACH, VA 23454-2418
(757) 481-2333
(757) 481-1037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036820
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5607833
—
VA
Enumeration date
08/04/2006
Last updated
12/01/2010
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