Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEORGE EDWARD BULLOCK JR., MS, ATC
ActiveMR. GEORGE EDWARD BULLOCK JR., MS, ATC is a Athletic Trainer healthcare provider located in BOSSIER CITY, Louisiana. NPI 1831115260 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1831115260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (20.043488279192 yrs)
- Last Updated
- Mar 5, 2009
- License
-
ATH.J00311 (LA)
Practice Information
- Address
-
2000 CENTURYTEL CENTER DRBOSSIER CITY, LA, 711124586Browse LA providers · Browse ZIP 71112
- Phone
- 3187522847
- Fax
- 3187419032
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| LANCE CHAMPAGNE | ATC, LAT | 1740693522 |
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.