Individual
KERRY DEMETRIA BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ASHFORD DR, OXFORD, GA 30054-4646
(706) 816-5346
Mailing address
110 ASHFORD DR, OXFORD, GA 30054-4646
(706) 816-5346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN721378
GA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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