Johnny Bullock, MD

NPI #1043268709 in Foxworth, Mississippi

Provider Information

NPI Number: 1043268709
Entity Type: Individual
Name: Johnny Bullock, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 5, 2006
Last Updated: Nov 1, 2012

Practice Location

Address: 62 HIGHWAY 587
City: Foxworth
State: Mississippi
ZIP Code: 39483-5026
Phone: (601) 424-3540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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