MISS Stephanie Marie Bullock, CSA

NPI #1871049510 in Hiram, Georgia

Provider Information

NPI Number
1871049510
Entity Type
Individual
Name
MISS Stephanie Marie Bullock, CSA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CSA
Enumeration Date
Sep 1, 2016
Last Updated
Dec 18, 2025

Practice Location

Address
277 COVINGTON DR
City
Hiram
State
Georgia
ZIP Code
30141-2257
Phone
(757) 287-8914

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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