Individual
MS. SUSAN D BULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT (ASCP) EMT-I
Contact information
Practice address
86 SOUTH COBB DRIVE, MAIL ZONE 0454, MARIETTA, GA 30066-0454
(770) 494-4131
(770) 494-3551
Mailing address
86 SOUTH COBB DRIVE, MAIL ZONE 0454, MARIETTA, GA 30066-0454
(770) 494-4131
(770) 494-3551
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
MT (ASCP) 76594
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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