Pulliam, Patrick Neal

Pulliam, Patrick Neal is an individual health care provider with primary practice located at 245 Country Club Dr Bldg 200A , Stockbridge GA 30281-7212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pulliam, Patrick Neal can be contacted via phone (770) 389-4543.

Contact Information

Primary practice address
245 Country Club Dr Bldg 200A Stockbridge GA 30281-7212
Fax: (770) 474-0566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050246 Georgia

Profile Details

NPI number 1215944863
LBN Legal business name Pulliam, Patrick Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Oct 9th, 2023 - about 2 years 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 1215944863 NPPES
Georgia MEDICAID 000909906C

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