MEDICARE: DR. CHRISTY ANN BULLMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIRO009840	GA

General Provider Information

NPI Number	:	1710427794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTY ANN BULLMAN D.C.

Provider Business Mailing Address
First Line	:	1685 MARS HILL RD NW STE 103
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-7180
Country	:	US
Telephone Number	:	770-218-1160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1685 MARS HILL RD NW STE 103
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-7180
Country	:	US
Telephone Number	:	770-218-1160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2017
Last Update Date	:	02/24/2017

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