Miss. Stephanie Marie Bullock, CSA
Miss. Stephanie Marie Bullock, CSA is an Undefined Non-Physician Type (Specify) in Hiram, Georgia. Graduated from Eastern Virginia Medical School in 2016, 10 years ago. Works from 2 locations.
- Years since qualifying
- 10
- Trained at
- Eastern Virginia Medical School
- In the registry since
- 2016
Practice location Address checks out
277 Covington DrHiram, GA 30141-2257
Phone: (757) 287-8914
Fax: (844) 550-4221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3595 Hiram Douglasville Hwy Ste 238, Hiram, GA 30141-4965 — (757) 287-8914
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X |
|---|
Record details
| NPI number | 1871049510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSA |
| Sole proprietor | No |
| NPI enumerated | September 1, 2016 |
| Last updated in NPPES | December 18, 2025 |
| Certification date | December 18, 2025 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Hiram
-
Corey Hargraves, SA
2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 · (470) 644-7000
-
Timothy N Timmons, CSA
404 Lakeview Ln, Hiram, GA 30141-4426 · (214) 227-2457
-
Trinity Surgical LLC
277 Covington Dr, Hiram, GA 30141-2257 · (757) 287-8914