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

MARQUETTA BULLARD

Active Sole Proprietor

MARQUETTA BULLARD is a Prosthetic/Orthotic Supplier healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1558018937 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · STONE MOUNTAIN, GA

Registration Details

NPI Number
1558018937
Provider Type
Individual
Gender
Female
NPI Issued
Mar 7, 2022 (4.4586568123752 yrs)
Last Updated
Mar 9, 2022
License
CO138476 (GA)
Sole Proprietor
Yes

Practice Information

Address
659 WREN WALK
STONE MOUNTAIN, GA, 300877204
Browse GA providers · Browse ZIP 30087
Phone
4044291470
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in STONE MOUNTAIN, GA

Name Credential NPI
ONDREY TOBIAS ISAAC 1982102877
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.