Individual
ANNA LUCIA BULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
765 LANIER 400 PKWY, CUMMING, GA 30040-2539
(770) 205-1294
(770) 887-4597
Mailing address
765 LANIER 400 PKWY, CUMMING, GA 30040-2539
(770) 205-1294
(770) 887-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76949
GA
207Q00000X
Family Medicine Physician
BP10045430
TX
Other
Enumeration date
06/11/2013
Last updated
10/13/2020
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