Individual
WILLIAM H PULLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 278-2105
(865) 291-3228
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6596
(706) 272-6270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
017270
GA
208D00000X
General Practice Physician
Primary
017270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000139609E
—
GA
01
—
P00242810
RAILROAD MEDICARE
GA
Enumeration date
07/05/2006
Last updated
03/25/2021
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