Bullock, Dennis G

Bullock, Dennis G is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 210 , Watkinsville GA 30677-7241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bullock, Dennis G can be contacted via phone (706) 552-1900.

Contact Information

Primary practice address
1305 Jennings Mill Rd Ste 210 Watkinsville GA 30677-7241
Phone: (706) 552-1900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 027774 Georgia

Profile Details

NPI number 1518995885
LBN Legal business name Bullock, Dennis G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 9th, 2021 - about 4 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 1518995885 NPPES
Georgia MEDICAID 000342526G

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