Selam Bullock in Raleigh - Pediatrics

Selam Bullock - NPI 1922194000

Selam Bullock is a Pediatrics in Raleigh, North Carolina. Selam Bullock practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Selam Bullock is 1922194000. The last update date is 2013-06-13.

Selam Bullock's current location address is 23 Sunnybrook Rd, Raleigh, North Carolina. You can contact this provider via phone number 9192503478 and fax number 9192506272. The mailing address for Selam Bullock is 23 Sunnybrook Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Selam Bullock
Address 23 Sunnybrook Rd, Raleigh, North Carolina
Phone Number 9192503478
Fax Number 9192506272
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922194000
Provider Enumeration Date 2006-10-05
Last Updated Date 2013-06-13

Provider Mailing Address Detail

Address 23 Sunnybrook Rd
City Raleigh
State North Carolina (NC)
Post Code 276101855
Phone Number 9192503478
Fax Number 9192506272

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 200201084
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5905271 NC --

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FAQs about Selam Bullock

What is the unique provider identifier assigned to Selam Bullock?

The Selam Bullock has been issued the NPI (National Provider Identifier) 1922194000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Selam Bullock's physical address?

The Selam Bullock is physically located at 23 Sunnybrook Rd, in the city of Raleigh, NC, with the postal code 276101855.

What is Selam Bullock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Selam Bullock is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922194000 to Selam Bullock?

The Centers for Medicare & Medicaid Services originally issued the 1922194000 to Selam Bullock on 2006-10-05.

As of what date were the details pertaining to Selam Bullock last refreshed?

The information related to the Selam Bullock, including its address, specialty, and other relevant details, was last updated on 2013-06-13.

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