| NPI | 1235515446 |
|---|---|
| Former Legal Business Name | MARIAN J. BULLARD PLLC |
| Entity Type | Organization |
| Authorized Contact | MARIAN J. BULLARD Owner 919-662-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-00283) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01664) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2019-02-06 |