Organization
JASON B. PULLIAM OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PULLIAM (OPTOMETRIST)
(252) 985-1371
Entity
Organization
Contact information
Practice address
9340 HELENA RD, SUITE F #314, BIRMINGHAM, AL 35244-1794
(205) 451-0004
Mailing address
PO BOX 7396, ROCKY MOUNT, NC 27804-0396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SB13TA698
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164453452
INDIVIDUAL NPI #
—
Enumeration date
08/05/2007
Last updated
02/18/2008
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