Provider Demographics
NPI:1780687699
Name:PULLEY, DEBBIE (CPM)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:PULLEY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5257 ROSESTONE DR NW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-4893
Mailing Address - Country:US
Mailing Address - Phone:770-381-2339
Mailing Address - Fax:
Practice Address - Street 1:5257 ROSESTONE DR NW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-4893
Practice Address - Country:US
Practice Address - Phone:770-381-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
95010001176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife