Organization
BRUCE H ULLERUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERI S DAVIS BS (INSURANCE CONSULTANT)
(828) 515-5120
Entity
Organization
Contact information
Practice address
70 WOODFIN PL, ASHEVILLE, NC 28801-2463
(828) 777-3755
(828) 225-2531
Mailing address
PO BOX 1030, MARS HILL, NC 28754-1030
(828) 777-3755
(828) 225-2531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C003071
NC
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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