Bullard, Marquetta

Bullard, Marquetta is an sole proprietor health care provider with primary practice located at 659 Wren Walk , Stone Mountain GA 30087-7204. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Bullard, Marquetta can be contacted via phone (404) 429-1470.

Contact Information

Primary practice address
659 Wren Walk Stone Mountain GA 30087-7204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CO138476 Georgia

Profile Details

NPI number 1558018937
LBN Legal business name Bullard, Marquetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2022
Last updated Mar 9th, 2022 - about 2 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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