Individual
DR. ELIZABETH SOFIA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2511 OLD CORNWALLIS RD, SUITE 200, DURHAM, NC 27713-1869
(919) 932-5700
(919) 933-6881
Mailing address
2511 OLD CORNWALLIS RD, SUITE 200, DURHAM, NC 27713-1869
(919) 932-5700
(919) 933-6881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007-00178
NC
2084P0800X
Psychiatry Physician
M2574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907021
—
NC
Enumeration date
06/04/2007
Last updated
09/18/2013
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