Dr. George Bullard JR.
Family Doctor
1120 First Colonial Rd Suite 100
Virginia Beach
, Virginia 23454-2418
Dr. George Bullard JR.
Family Doctor
1120 First Colonial Rd Suite 100
Virginia Beach
, Virginia 23454-2418
(757) 481-1037
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. George Bullard JR.
- 1120 First Colonial Rd Suite 100
- Virginia Beach, VA
- Zip : 23454-2418
- Fax : (757) 481-1037
- Phone : (757) 481-2333
Second Address
- Dr. George Bullard JR.
- 1120 First Colonial Rd Suite 100
- Virginia Beach, VA
- Zip : 23454-2418
- Fax : (757) 481-1037
- Phone : (757) 481-2333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0101036820 | VA |
National Provider Identifier
| NPI | 1003824764 |
|---|---|
| Provider Name | Dr. George Bullard JR. |
| First Address | Virginia Beach, VA 23454-2418 |
| Second Address | Virginia Beach, VA 23454-2418 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 01/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5607833 | (05) | VA |
| B10251 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.