TY A. BULLINGTON

HIXSON, TN
NPI1407015951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN  APN13114)
Enumeration Date2008-06-09
Last Update Date2019-03-05
Business Address
Mr. TY A. BULLINGTON NP
4519 HIXSON PIKE
HIXSON, TN 37343-5035
Phone number: 423-877-4591
Mailing Address
Mr. TY A. BULLINGTON NP
910 BLACKFORD STREET ATTN: TCT AFTERCARE CENTER
CHATTANOOGA, TN 37403
Phone number: 423-778-2846