BULLOCH PEDIATRICS GROUP, LLC is a pediatrics nurse practitioner in Statesboro, GA. BULLOCH PEDIATRICS GROUP, LLC NPI is 1720341514. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1497 FAIR RD
SUITE 200
STATESBORO, GA
ZIP 30458-822
Phone: (912) 871-4847
Fax: (912) 871-5562
The provider's authorized official is Kristen T Hart .
The authorized official title is Practice Manager and has the following contact phone number (912) 871-4847.
The CLIA number assigned to this NPI record is 11D1055649 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/18/2012 and was last updated on 6/18/2012.