Bulloch Pediatrics, PC
NPI #1679775712 in Statesboro, Georgia
Provider Information
- NPI Number
- 1679775712
- Entity Type
- Organization
- Organization Name
- Bulloch Pediatrics, PC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1497 FAIR RD
- Address 2
- STE 200
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-0822
- Phone
- (912) 871-4847
Authorized Official
- Name
- MELODY K LIGHTSEY
- Title
- OFFICE MANAGER
- Phone
- (912) 871-4847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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