Individual
LEAH ANN BULOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2230 TOWNE LAKE PKWY, BLDG. 1200, SUITES 100 & 110, WOODSTOCK, GA 30189-5540
(770) 926-2744
(770) 926-2794
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507154480A
—
GA
05
—
507154480B
—
GA
01
—
985629
BCBS GA
GA
01
—
985630
BCBS GA
GA
01
—
985631
BCBS GA
GA
Enumeration date
05/31/2006
Last updated
07/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us