STACIE M. BULLOCK

BAPTIST HEALTH CENTERS LLC

Dr STACIE M. BULLOCK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

BAPTIST HEALTH CENTERS LLC

1130 22ND ST S
SUITE 1000
BIRMINGHAM
AL
352052881

Tel: 2057155943

STACIE M. BULLOCK Information

Npi 1174802565
Pac Id 8123299724
Professional Enrollment Id I20110912000139
Last Name BULLOCK
First Name STACIE
Middle Name M.
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BAPTIST HEALTH CENTERS LLC
Group Practice Pac Id 3476457011
Number Of Group Practice Members 136
Line 1 Street Address 1130 22ND ST S
Line 2 Street Address SUITE 1000
Marker Of Address Line 2 Suppression
City BIRMINGHAM
State AL
Zip Code 352052881
Phone Number 2057155943
Hospital Affiliation Ccn 1 010089
Hospital Affiliation Lbn 1 WALKER BAPTIST MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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