Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL MARK BULLARD
Active Sole ProprietorSAMUEL MARK BULLARD is a Registered Dietitian healthcare provider located in SNELLVILLE, Georgia. NPI 1649067422 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SNELLVILLE, GA
Registration Details
- NPI Number
- 1649067422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2025 (1.3450939896957 yrs)
- Last Updated
- Apr 23, 2025
- License
-
LD006062 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3783 GALDWAY DRSNELLVILLE, GA, 300395123Browse GA providers · Browse ZIP 30039
- Phone
- 6784041396
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in SNELLVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| CONSTANCE CHUKWUKA | RD | 1033363718 |
| TRACY KUZAVA | MBA, RDN, LD | 1740521848 |
| MS. RACHAEL R MCCLELLAN | RDN | 1750794012 |
| MORGAN IVEY | RD, LD, CLC | 1306237003 |
| MRS. MERCY AREMU | RD,LDN | 1093199622 |
| MELISSA ANN THOMAS | RDN, LD, CLC | 1013579242 |
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.