Individual
EMILY KATHARINE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
641 R B WILSON DR, SUITE G, HUNTINGDON, TN 38344
(731) 986-7400
(731) 986-7402
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN6812
TN
Other
Enumeration date
03/14/2006
Last updated
10/24/2016
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