Organization
CLEVELAND FAMILY HEALTH CLINIC, PLLC
Active
Other names
Marian J. Bullard PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN J. BULLARD P.A. C (OWNER)
(919) 662-7600
Entity
Organization
Contact information
Practice address
22 SHIPWASH DRIVE, GARNER, NC 27529
(919) 662-7600
(919) 662-7675
Mailing address
22 SHIPWASH DR, GARNER, NC 27529-6861
(919) 662-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011-00283
NC
363A00000X
Physician Assistant
0010-01664
NC
Other
Enumeration date
08/11/2015
Last updated
02/06/2019
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