Individual
LANDON RAE BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204-2966
(704) 446-2772
Mailing address
823 S CHURCH ST APT 1439, GREENVILLE, SC 29601-4749
(864) 940-9579
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H0071
NC
Other
Enumeration date
03/28/2019
Last updated
11/27/2023
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