Individual ProviderKarla BullonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1601 Owen Dr, Fayetteville, NC 28304-3425(910) 678-0100PECOS EnrollmentBased on the most recent information from CMS, provider Karla Bullon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1578942405Provider TypeIndividualFull NameBullon, KarlaGenderFemaleSole ProprietorNoEnumeration Date5/26/2015Last Updated5/26/2015Contact InformationPractice LocationPractice Address1601 Owen Dr, Fayetteville, NC 28304-3425Phone(910) 678-0100Fax(910) 678-0115Mailing LocationMailing Address1601 Owen Dr, Fayetteville, NC 28304-3425Phone(910) 678-0100Fax(910) 678-0115Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense208261North Carolina