Individual provider · Type 1 NPI

Samuel Mark Bullard

Registered Dietitian · Snellville, GA

NPI number 1649067422 Active

Practice location

3783 Galdway Dr
Snellville, GA 30039-5123

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD006062 (GA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1649067422

Samuel Mark Bullard's National Provider Identifier is 1649067422, issued on Apr 23, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Snellville, GA. The record was last updated on Apr 23, 2025.