STACIE MAREE BULLOCK

BIRMINGHAM, AL
NPI1174802565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-110629)
Enumeration Date2011-08-16
Last Update Date2023-08-11
Business Address
STACIE MAREE BULLOCK CRNP
3485 INDEPENDENCE DR
BIRMINGHAM, AL 35209-5603
Phone number: 205-930-0920
Mailing Address
STACIE MAREE BULLOCK CRNP
3485 INDEPENDENCE DR
BIRMINGHAM, AL 35209-5603
Phone number: 205-930-0920
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