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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH ELDON BULLOCK, M.S., CCC/ SLP

Active Sole Proprietor

MR. KEITH ELDON BULLOCK, M.S., CCC/ SLP is a Speech, Language and Hearing Specialist healthcare provider located in ATLANTA, Georgia. NPI 1124379144 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ATLANTA, GA

Registration Details

NPI Number
1124379144
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2012 (13.827503241794 yrs)
Last Updated
Nov 13, 2012
License
SLP007934 (GA)
Sole Proprietor
Yes

Practice Information

Address
1835 SAVOY DR
SUITE 100
ATLANTA, GA, 303411072
Browse GA providers · Browse ZIP 30341
Phone
6782989484
Fax
6788264033
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ATLANTA, GA

Name Credential NPI
MRS. VONNIA LYNETTE HARRIS-DAVIS CCC SLP 1740267186
DEBORAH VEGA SLP 1184602534
LISA ROTHBERGER SLP 1487632758
LESLYE PRYOR SLP 1184602559
MS. KATHERINE HANNAH NEUFELD MS, CCC-SLP 1598743049
JANNIE GRAHAM SLP 1356329643
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.