Individual provider · Type 1 NPI

Gabrielle Elaina Bulleman, PA-C

Pediatrics Physician · Myrtle Beach, SC

NPI number 1629952411 Active

Practice location

8120 Rourk St
Myrtle Beach, SC 29572-4127

Call (843) 449-1438 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X5955 (SC)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1629952411

Gabrielle Elaina Bulleman, PA-C's National Provider Identifier is 1629952411, issued on Aug 4, 2025. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Myrtle Beach, SC. The record was last updated on May 5, 2026.