Individual
ZACHARY R PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
(843) 792-4074
Mailing address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
(843) 792-4074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL85936
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/28/2019
Last updated
06/07/2021
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