Kelly, Elaine Bullock

Kelly, Elaine Bullock is an sole proprietor health care provider with primary practice located at Building 9203 Marne Road Martin Army Communtiy Hospital, Ft. Moore GA 31905. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kelly, Elaine Bullock can be contacted via phone (706) 544-4339.

Contact Information

Primary practice address
Building 9203 Marne Road Martin Army Communtiy Hospital Ft. Moore GA 31905
Phone: (706) 544-4339
Fax: (706) 544-4236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801074848 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801074848 Michigan

Profile Details

NPI number 1801993159
LBN Legal business name Kelly, Elaine Bullock
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Mar 4th, 2024 - about last year

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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