Ralyn Daniels Bullock

NPI #1831860006 in Jefferson, Georgia

Provider Information

NPI Number: 1831860006
Entity Type: Individual
Name: Ralyn Daniels Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 27, 2021
Last Updated: Sep 27, 2021

Practice Location

Address: 1685 OLD PENDERGRASS RD
City: Jefferson
State: Georgia
ZIP Code: 30549-2705
Phone: (706) 387-7620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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