John David Bullock in Hattiesburg - Family Medicine
John David Bullock - NPI 1942217757
John David Bullock is a Family Medicine in Hattiesburg, Mississippi. John David Bullock practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John David Bullock is 1942217757. The last update date is 2020-07-14.
John David Bullock's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6017583100 and fax number 6015795240. The mailing address for John David Bullock is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Bullock |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6017583100 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942217757 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2020-07-14 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6017583100 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 12095 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121120 | MS | -- | |
| 1559122 | MS | AMERICAN ADMIN GROUP |
Post Comment/ Review Below
What is the John David Bullock's unique identification number?
The John David Bullock has been assigned the NPI (National Provider Identifier) Number 1942217757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John David Bullock?
The John David Bullock is physically situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the postal code 394017246.
What is John David Bullock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John David Bullock is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942217757 to John David Bullock?
The Centers for Medicare & Medicaid Services originally issued the 1942217757 to John David Bullock on 2006-08-02.
As of what date was the information pertaining to John David Bullock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John David Bullock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-14.