Individual
ASHLEY MICHELLE BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4541
(225) 765-9196
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4541
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
346459
LA
208M00000X
Hospitalist Physician
346459
LA
Other
Enumeration date
04/22/2022
Last updated
06/15/2026
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