Search › Louisiana › 2255A2300X

George Bullock, MS, ATC

NPI 1831115260 · on the registry since 2006

Practice

Address
2000 Centurytel Center Dr
Bossier City, LA 71112
Phone
(318) 752-2847
Fax
(318) 741-9032

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana