| NPI | 1043243876 |
|---|---|
| Doing Business As | BULLOCH WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STARLA SUTTON Pso 9123-388-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-04-19 |