NPI 1235449422

Bullock Immediate Care LLC

Organisation General Practice Physician Montgomery, AL

Practice location

Address: 5303 Vaughn Road, Montgomery, AL 36116-1120
Phone: (334) 386-0343
Fax: (334) 386-0382

Authorised official

Name: Victoria Francis Lawrenson
Title: Managing Partner
Phone: (334) 386-0343

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1235449422
Entity type: Organization
NPI issued: 21 Oct 2010
Record last updated: 21 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.