Individual
MRS. TAYLOR EVANS BULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 472-2000
Mailing address
117 LOWERY DR, THOMASVILLE, NC 27360-8832
(336) 486-7856
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
P522300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P522300
NCEMS
NC
Enumeration date
02/04/2022
Last updated
02/04/2022
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