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Individual

ANDREW BRANDON BULLINGTON

Active
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Individual

ANDREW BRANDON BULLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
054468
GA
207X00000X
Orthopaedic Surgery Physician
Primary
MD.28879
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700910155
AL
01
510-40197
BCBS - 1500 ROSS CLARK CIRCLE
AL
01
510-40198
BCBS - 4300 W MAIN ST; STE 14
AL
05
564805591B
GA
Enumeration date
03/16/2007
Last updated
08/12/2019
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