Individual
JAMES ROGER BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD RETIRED
Contact information
Practice address
707 SOMERSET WAY, AUGUSTA, GA 30909-3146
(706) 738-5612
(706) 738-0099
Mailing address
PO BOX 14727, 707 SOMERSET WAY, AUGUSTA, GA 30909
(706) 738-5612
(706) 738-0099
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8721
GA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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