Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNY BULLOCK, MD
ActiveJOHNNY BULLOCK, MD is a Family Medicine healthcare provider located in FOXWORTH, Mississippi. NPI 1043268709 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FOXWORTH, MS
Registration Details
- NPI Number
- 1043268709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (20.094667170239 yrs)
- Last Updated
- Nov 1, 2012
- License
-
13883 (MS)
Practice Information
- Address
-
62 HIGHWAY 587FOXWORTH, MS, 394835026Browse MS providers · Browse ZIP 39483
- Phone
- 6014243540
- Fax
- 6014243544
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.