Individual
DR. EDDIE R. PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2055 GAUSE BLVD E, SUITE 300, SLIDELL, LA 70461-5432
(985) 649-0023
(985) 661-9933
Mailing address
PO BOX 6776, SLIDELL, LA 70469-6776
(985) 649-0023
(985) 661-9933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3258A
BLUE CROSS AND BLUE SHIEL
LA
Enumeration date
01/30/2007
Last updated
07/08/2007
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