DR. Colette Devona Bullock, DO
NPI #1164612370 in Sugar Hill, Georgia
Provider Information
- NPI Number
- 1164612370
- Entity Type
- Individual
- Name
- DR. Colette Devona Bullock, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- DO
- Enumeration Date
- Jul 25, 2007
- Last Updated
- Oct 8, 2022
Practice Location
- Address
- 5422 CUMMING HWY STE 104
- City
- Sugar Hill
- State
- Georgia
- ZIP Code
- 30518-7027
- Phone
- (678) 466-9193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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