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1114767043
ADAM BULLOCK
DECATUR, GA
NPI
1114767043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN299635)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
ADAM BULLOCK RN
2701 N DECATUR RD
DECATUR, GA 30033-5918
Phone number: 404-501-1000
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Mailing Address
ADAM BULLOCK RN
927 KATIE KERR DR
DECATUR, GA 30030-4151
Phone number: 704-918-7429
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