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Individual

DR. PATRICK NEAL PULLIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281-7212
(770) 389-4543
(770) 474-0566
Mailing address
245 COUNTRY CLUB DR BLDG 200A, STOCKBRIDGE, GA 30281-7212
(770) 389-4543
(770) 474-0566

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050246
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000909906C
GA
Enumeration date
08/02/2006
Last updated
10/09/2023
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