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1407015951
TY A. BULLINGTON
HIXSON, TN
NPI
1407015951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN APN13114)
Enumeration Date
2008-06-09
Last Update Date
2019-03-05
Business Address
Mr. TY A. BULLINGTON NP
4519 HIXSON PIKE
HIXSON, TN 37343-5035
Phone number: 423-877-4591
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Mailing Address
Mr. TY A. BULLINGTON NP
910 BLACKFORD STREET ATTN: TCT AFTERCARE CENTER
CHATTANOOGA, TN 37403
Phone number: 423-778-2846
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