Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bulloch Pediatrics Group, LLC

Organization Pediatric Nurse Practitioner · NPI 1720341514

Bulloch Pediatrics Group, LLC is a Pediatric Nurse Practitioner in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1497 Fair Rd Ste 200
Statesboro, GA 30458-0822
Phone: (912) 871-4847
Fax: (912) 871-5562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN104429 (GA)

Record details

NPI number1720341514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Hart — Practice Manager · (912) 871-4847
NPI enumeratedJune 18, 2012
Last updated in NPPESJune 18, 2012
Mailing address1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822

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