Bullard, Gregory Robert

Bullard, Gregory Robert is an individual health care provider with primary practice located at 1547 Parkway Suite 100, Greenwood SC 29646-4081. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bullard, Gregory Robert can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Suite 100 Greenwood SC 29646-4081
Phone: (864) 229-7120
Fax: (864) 229-5526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 822 South Carolina

Profile Details

NPI number 1043329170
LBN Legal business name Bullard, Gregory Robert
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043329170 NPPES
South Carolina MEDICAID 421504

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