Individual provider · Type 1 NPI

Christian Jarrett Pulliam

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1073197083 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2255 Map

Other practice locations

  • 701 Grove Road, 5th Floor Support Tower, Greenville, SC 29605 · (864) 455-7882

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XLL83544 (SC)
Internal Medicine Physician 207R00000XLL83544 (SC)
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL24-0798 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073197083

Christian Jarrett Pulliam's National Provider Identifier is 1073197083, issued on May 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 29, 2024.