Individual
ZAIRE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2062 LAKE FOREST DR, GROVETOWN, GA 30813-1237
(843) 845-7120
Mailing address
2062 LAKE FOREST DR, GROVETOWN, GA 30813-1237
(843) 845-7120
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/28/2016
Last updated
02/28/2016
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