Remus B Bullard III, PA-C
Physician Assistant in Hickory, NC. Individual provider (NPI-1).
NPI number1790728145
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1790728145
- Entity type
- Individual (NPI-1)
- Name
- Mr. Remus B Bullard III
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- May 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 102375 | NC | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Practice location
311 9th Avenue Dr NeHickory, NC 28601-3829
Phone 828-322-7338 · Fax 828-304-6319
Mailing address
311 9th Avenue Dr NeHickory, NC 28601-3829
Phone 828-322-7338 · Fax 828-304-6319
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