MARQUETTA BULLARD
NPI 1558018937
Prosthetic/Orthotic Supplier in Stone Mountain, GA

Q: What is Marquetta Bullard's NPI number?

The NPI number for Marquetta Bullard is 1558018937. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Q: What is Marquetta Bullard's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Marquetta Bullard was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2022

659 WREN WALK, STONE MOUNTAIN, GA 30087(404) 429-1470 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marquetta Bullard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARQUETTA BULLARD (NPI 1558018937) is an individual prosthetic/orthotic supplier provider in Stone Mountain, Georgia, licensed in Georgia (CO138476) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1558018937

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameMARQUETTA BULLARD

Location Address659 WREN WALKStone Mountain, GA 30087-7204

Mailing Address659 Wren WalkStone Mountain, GA 30087-7204 · (404) 429-1470

Phone(404) 429-1470

Sole ProprietorYes

Enumeration DateMarch 7, 2022

Last NPPES UpdateMarch 9, 2022

NPPES CertifiedMarch 9, 2022

✔ NPI 1558018937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in GA · CO138476

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

659 WREN WALK, Stone Mountain, GA 30087

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marquetta Bullard's NPI number?

The NPI number for Marquetta Bullard is 1558018937. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Marquetta Bullard located?

Marquetta Bullard practices at 659 Wren Walk, Stone Mountain, GA 30087. The listed phone number is (404) 429-1470.

What is Marquetta Bullard's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Marquetta Bullard was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.