Individual
DR. GARY MORGAN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
430 EMORY DRIVE, STE 700, HOOVER, AL 35244
(205) 987-4044
(205) 987-4966
Mailing address
430 EMORY DRIVE, STE 700, HOOVER, AL 35244
(205) 987-4044
(205) 987-4966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-729
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941834
—
AL
01
—
0112855
MEDICARE COMPLETE
AL
01
—
051539246
BLUE CROSS
AL
01
—
50369
SENIORS FIRST
AL
01
—
H44865
VIVA HEALTH
AL
Enumeration date
09/04/2006
Last updated
10/21/2015
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