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Contact Information

CARRIE A BULLOCK
2100 E CHAMBERS DR
BOONEVILLE, MS38829-8938
 Phone: 662-728-3174
 Fax: 662-728-3175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CARRIE A BULLOCK · (Female)

NPI # 1235408451
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2011
Last updated 12/16/2011 - About 14 years ago
Sole proprietor 1 Yes
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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