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

Amber Bullock

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417880824

Amber Bullock is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1120 15th St
Augusta, GA 30912-0006
Phone: (678) 709-7438
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 113754 (GA)

Record details

NPI number1417880824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address1040 Alexander Dr Apt 6222, Augusta, GA 30909-0288

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