NPI age
7 years
Enumerated 2019-02-05
● Active Type 2 · Organization
Legacy Medical, Llc
Legacy Medical, Llc is 1 of 5027 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bullock
Ceo
Last NPPES update
2022-10-08
Source: monthly bulk 2026-05
How this organization compares
Across 5027 active internal medicine providers in Georgia.
NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-02Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
5422 Cumming Hwy Ste 104
Sugar Hill, GA 305187027
Mailing address
5422 Cumming Hwy Ste 104
Sugar Hill, GA 305187027
Authorized official
Colette Devona Bullock, DO
Ceo
📞 6787657147
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Colette Bullock, DO Internal Medicine NPI 1164612370
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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