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Individual

MR. TY A. BULLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(404) 365-0966
Mailing address
1074 PEACHTREE WALK NE UNIT B211, ATLANTA, GA 30309-3949
(615) 293-2958

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP242862
GA

Other

Enumeration date
06/09/2008
Last updated
10/22/2025
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