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
Phone: (770) 389-4543
Fax: (770) 474-0566
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215944863 | NPPES |
| Georgia | MEDICAID | 000909906C |
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