CRYSTAL ROSE BULLARD

CHARLOTTE, NC
NPI1649432469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC  2013-00024)
Additional Taxonomies2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NC  2013-00024)
Enumeration Date2008-07-02
Last Update Date2024-01-24
Business Address
CRYSTAL ROSE BULLARD MD
3525 REA FOREST DR
CHARLOTTE, NC 28226-3193
Phone number: 803-239-4595
Mailing Address
CRYSTAL ROSE BULLARD MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: