Bulloch Pediatrics Group, LLC
NPI #1720341514 in Statesboro, Georgia
Provider Information
- NPI Number
- 1720341514
- Entity Type
- Organization
- Organization Name
- Bulloch Pediatrics Group, LLC
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Jun 18, 2012
- Last Updated
- Jun 18, 2012
Practice Location
- Address
- 1497 FAIR RD
- Address 2
- SUITE 200
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-0822
- Phone
- (912) 871-4847
Authorized Official
- Name
- MRS. KRISTEN T HART, MHSA
- Title
- PRACTICE MANAGER
- Phone
- (912) 871-4847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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