| Doctor Name: | DR. HUEY GILES BULLOCK |
| NPI Number: | 1033173067 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 023433 |
| Business Practice Address: | 4350 Towne Centre Dr Suite 1000 Evans, GA - 308093301 |
| Business Phone Number: | 7068683940 |
| Business Fax Number: | |
| Mailing Address: | 1125 Troupe St, P.o. Box 3845 AUGUSTA |
| State: | GA |
| Postal Code: | 309143845 |
| Phone Number: | 7067374575 |
| Fax Number: | 7067315289 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 10/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085D0003X |
| License Number: | 023433 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Neuroimaging |
| Taxonomy Definition: | A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |