MS. SUSAN D BULLA (NPI# 1841453701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841453701 |
| Entity Type | Individual |
| Full Name | MS. SUSAN D BULLA |
| Credential | MT (ASCP) EMT-I |
| Practice Address |
86 South Cobb Drive Mail Zone 0454 Marietta GA 30066-0454 |
| Practice Telephone | 7704944131 |
| Practice Fax Number | 7704943551 |
| Mailing Telephone | 7704944131 |
| Mailing Fax Number | 7704943551 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
MT (ASCP) 76594 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
86 SOUTH COBB DRIVE MAIL ZONE 0454 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-0454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083171045 | Arianna Curtis Bartleson | Spec/Tech, Pathology | 1014 Durban Dr, Grovetown, GA 30813-2243 | 2019-02-26 |
| 1093010548 | Beverley Hyacinth Chin | Spec/Tech, Pathology | 4435 Boatmans Cv, Stone Mountain, GA 30083-2483 | 2011-01-13 |
| 1306164496 | Daphne Dixon Puckett | Spec/Tech, Pathology | 3652 Pearl St, Shellman, GA 39886 | 2010-05-13 |
| 1619916186 | Jonathan Blackmon | Spec/Tech, Pathology | 603 Wild Grape Dr, Saint Marys, GA 31558-3619 | 2006-06-06 |
| 1518513233 | Mukhtar O Awad | Spec/Tech, Pathology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-08-19 |
| 1073630059 | Cherron Lakisha Blakely | Spec/Tech, Pathology | 1826 Veterans Blvd, Bldg 3a, Pathology and Laboratory Medicine, Dublin, GA 31021-3620 | 2007-03-23 |
Please comment or provide details below to improve the information on MS. SUSAN D BULLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.