Bullock, Anne Constania

Bullock, Anne Constania is an individual health care provider with primary practice located at 619 S 8Th St Ste 301 , Griffin GA 30224-4260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Cardiology, which is considered as her primary health care specialty. Bullock, Anne Constania can be contacted via phone (770) 229-6072.

Contact Information

Primary practice address
619 S 8Th St Ste 301 Griffin GA 30224-4260
Phone: (770) 229-6072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 032140 Georgia

Profile Details

NPI number 1477547784
LBN Legal business name Bullock, Anne Constania
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Oct 31st, 2022 - about 3 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 1477547784 NPPES
Georgia MEDICAID 00569698B
Georgia Other 360003154/CM0845

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