Individual
MICHELLE ELAINE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N MADISON ST, WHITEVILLE, NC 28472-3309
(910) 297-6112
Mailing address
281 ARTESIA RD, HALLSBORO, NC 28442-9196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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