Individual
HANNA ELIZABETH BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
812 CANDY PARK RD, PEMBROKE, NC 28372-9120
(910) 521-0201
(910) 521-0773
Mailing address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
(910) 671-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
10/09/2025
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