Individual
LAURA BETH BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3441 DICKERSON PIKE, NASHVILLE, TN 37207-2539
(615) 769-4401
(615) 769-4730
Mailing address
2020 21ST AVE S STE 201, NASHVILLE, TN 37212-4354
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1776
TN
Other
Enumeration date
12/10/2009
Last updated
11/14/2011
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