RAEONDA BULLARD MD
Individual Provider (NPI-1)
Active
Obstetrics & Gynecology
Provider Information
- NPI Number
1144713652- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 6095 PROFESSIONAL PKWY STE A210, DOUGLASVILLE, GA, 301345611
- Phone
- (770) 949-4188
- Fax
- (770) 949-1614
Specialties & Taxonomies
Obstetrics & Gynecology
License: GA #010079
Obstetrics & Gynecology
Primary License: GA #93170