Individual
JOHN CHRISTOPHER BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAS/CPSS
Contact information
Practice address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4396
(843) 332-4156
Mailing address
PO BOX 2076, HARTSVILLE, SC 29551-2076
(843) 332-4156
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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