OrganizationCleveland Family Health Clinic, Pllc(Marian J. Bullard Pllc)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address22 Shipwash Drive, Garner, NC 27529(919) 662-7600PECOS EnrollmentBased on the most recent information from CMS, provider Cleveland Family Health Clinic, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1235515446Provider TypeOrganizationFull NameCleveland Family Health Clinic, PllcOther NameMarian J. Bullard PllcSubpartNoEnumeration Date8/11/2015Last Updated2/6/2019Contact InformationPractice LocationPractice Address22 Shipwash Drive, Garner, NC 27529Phone(919) 662-7600Fax(919) 662-7675Mailing LocationMailing Address22 Shipwash Dr, Garner, NC 27529-6861Phone(919) 662-7600FaxUnlisted FaxAuthorized OfficialNameBullard, Marian J. (Owner)Phone(919) 662-7600Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense2011-00283North CarolinaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-01664North Carolina