Organization
HARTSVILLE DIAGNOSTIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EUGENE BULLARD JR. M. D. (PRESIDENT)
(843) 621-7546
Entity
Organization
Contact information
Practice address
214 S 2ND ST, HARTSVILLE, SC 29550-4304
(843) 621-7546
Mailing address
PO BOX 1437, HARTSVILLE, SC 29551-1437
(843) 621-7546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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