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

Bulloch Pediatrics, PC

Organization Pediatrics Physician · NPI 1679775712

Bulloch Pediatrics, PC is a Pediatrics Physician in Statesboro, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1679775712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melody Lightsey — Office Manager · (912) 871-4847
NPI enumeratedJune 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1497 Fair Rd, Ste 200, Statesboro, GA 30458-0822

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