Individual
DR. TRON LEWILL BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4915
Mailing address
2915 WESTCHESTER CT, AUGUSTA, GA 30909-2015
(404) 798-8430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
91314
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
06/11/2020
Last updated
10/03/2022
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