Individual
ENOCH BUSULWA LULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5542
(706) 774-5789
Mailing address
4234 RIVERWALK PKWY STE 230, RIVERSIDE, CA 92505-3312
(951) 781-3672
(951) 781-0365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66519
GA
207R00000X
Internal Medicine Physician
C145705
CA
207T00000X
Neurological Surgery Physician
C145705
CA
Other
Enumeration date
07/23/2009
Last updated
08/08/2023
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