Individual
DR. GEORGE PULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4170
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17363
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718047
WV BCBS
WV
05
—
0076738000
—
WV
05
—
010267714
—
VA
01
—
1053520
BRICKSTREET
WV
01
—
930125094
CH1 RAILROAD MEDICARE
WV
01
—
930125095
CH2 RAILROAD MEDICARE
WV
01
—
P00300482
PR1 RAILROAD MEDICARE
WV
01
—
P00307763
RAILROAD MEDICARE
WV
Enumeration date
12/20/2005
Last updated
06/16/2008
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