Individual
ADAM THOMAS BULLOCK
Active
Individual
ADAM THOMAS BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299635
GA
363LF0000X
Family Nurse Practitioner
Primary
RN299635
GA
364SE0003X
Emergency Clinical Nurse Specialist
RN299635
GA
Other
Enumeration date
05/29/2024
Last updated
05/14/2026
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