JOHN DAVID BULLOCK

SUMRALL, MS
NPI1942217757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  12095)
Enumeration Date2006-08-02
Last Update Date2020-07-14
Business Address
JOHN DAVID BULLOCK MD
1238 HIGHWAY 42
SUMRALL, MS 39482
Phone number: 601-758-3100
Mailing Address
JOHN DAVID BULLOCK MD
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-758-3100