Individual
DR. ROBERT EUGENE BULLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 333-2260
(843) 857-4406
Mailing address
PO BOX 1437, HARTSVILLE, SC 29551-1437
(843) 332-2605
(843) 857-4406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11922
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119222
—
SC
01
—
P00906614
RAILROAD MEDICARE PTAN
SC
Enumeration date
03/24/2006
Last updated
11/20/2024
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