LAURA RUTHVEN BULLOCH

LAKE CITY, SC
NPI1700289147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  19069)
Enumeration Date2014-09-30
Last Update Date2022-09-21
Business Address
LAURA RUTHVEN BULLOCH PNP
800 W MAIN ST
LAKE CITY, SC 29560-4400
Phone number: 843-977-7337
Mailing Address
LAURA RUTHVEN BULLOCH PNP
800 W MAIN ST
LAKE CITY, SC 29560-4400
Phone number: 843-977-7337
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