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M. Michael Pulliam, M.d., P.c.
Specialist in Covington, Georgia
NPI 1871635516

M. Michael Pulliam, M.d., P.c. is a Specialist based in Covington, GA. M. Michael Pulliam, M.d., P.c. practices in Covington, GA. The NPI Number for M. Michael Pulliam, M.d., P.c. is 1871635516 and holds a License No. 11036 (Georgia).

The current practice location address for M. Michael Pulliam, M.d., P.c. is 1467 Hospital Drive, Covington, GA and can be reached out via phone at 770-786-1234 and via fax at 770-385-0813.

Location: 1467 Hospital Drive, Covington, GA, 30015-0469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871635516
Provider Name
M. Michael Pulliam, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
1467 Hospital Drive, Covington, GA, 30015-0469
Phone Number
770-786-1234
Fax Number
770-385-0813
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00012229D 05 GA
00164469K 05 GA
00164469I 05 GA
00164469J 05 GA
00420802A 05 GA
institution
Provider Business Practice Location Address Details
Address
1467 Hospital Drive
City
Covington
State
Georgia
Zip
30014-2565
Phone Number
770-786-1234
Fax Number
770-385-0813
person
Provider Business Mailing Address Details
Address
1467 Hospital Drive
City
Covington
State
Georgia
Zip
30014-2565
Phone Number
770-786-1234
Fax Number
770-385-0813
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11036 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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