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

Mr. Keith Eldon Bullock, MS, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1124379144

Mr. Keith Eldon Bullock, MS, CCC/SLP is a Speech-Language Pathologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1835 Savoy Dr Ste 100
Atlanta, GA 30341-1072
Phone: (678) 298-9484
Fax: (678) 826-4033
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP007934 (GA)

Record details

NPI number1124379144
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC/SLP
Sole proprietorYes
NPI enumeratedOctober 1, 2012
Last updated in NPPESNovember 13, 2012
Mailing address1835 Savoy Dr, Suite 100, Atlanta, GA 30341-1072

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