Individual
MALISHA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
1393 COUNTY ROAD 46, GAYLESVILLE, AL 35973-3103
(256) 266-3178
Mailing address
1393 COUNTY ROAD 46, GAYLESVILLE, AL 35973-3103
(256) 266-3178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
527282
AL
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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