NPI age
9 years
Enumerated 2016-09-01
● Active
Type 1 · Individual
MISS Stephanie Marie Bullock, CSA
Bullock is 1 of 4 specialist/technologist, other providers in Hiram and 1 of 399 in Georgia.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 399 active specialist/technologist, other providers in Georgia.
NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Practice location
277 Covington Dr
Hiram, GA 301412257
Mailing address
277 Covington Dr
Hiram, GA 301412257
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3595 Hiram Douglasville Hwy Ste 238
Hiram, GA 301414965
Specialties
-
Specialist/Technologist, Other PrimaryA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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