Individual
JAMIE L BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
(202) 715-4015
Mailing address
20010 CENTURY BLVD., SUITE 200, GERMANTOWN, MD 20874-1106
(240) 686-2300
(240) 686-2330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003049
VA
Other
Enumeration date
08/06/2009
Last updated
12/04/2022
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