Bullock, Selam

Bullock, Selam is an individual health care provider with primary practice located at 400 Athletic Club Blvd Unit 101 , Clayton NC 27527-6558. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bullock, Selam can be contacted via phone (919) 267-1499.

Contact Information

Primary practice address
400 Athletic Club Blvd Unit 101 Clayton NC 27527-6558
Phone: (919) 267-1499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200201084 North Carolina

Profile Details

NPI number 1922194000
LBN Legal business name Bullock, Selam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 13th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922194000 NPPES
North Carolina MEDICAID 5905271

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