Individual
DR. THERESA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6688 NC HIGHWAY 41 N, LUMBERTON, NC 28358-2501
(910) 618-9260
(910) 737-6505
Mailing address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 272-1230
(910) 738-8230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9900782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912273
—
NC
Enumeration date
09/15/2006
Last updated
07/30/2024
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