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Contact Information

LARRY G BULLARD, MS
317 HOSPITAL ST
MOULTON, AL35650-1269
 Phone: 256-355-6105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LARRY G BULLARD · (Male)

NPI # 1013075845
Status Active
Credentials MS
Entity Individual
Enumeration date 12/05/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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