Provider Demographics
NPI:1386608784
Name:KULIK, ANN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:KULIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5719
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29804-5719
Mailing Address - Country:US
Mailing Address - Phone:803-648-8804
Mailing Address - Fax:803-648-8815
Practice Address - Street 1:4443 JESSUP GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9934
Practice Address - Country:US
Practice Address - Phone:336-663-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89253OtherMEDCOST
NC31146OtherPARTNERS MEDICARE
NC891217UMedicaid
NC1217UOtherBCBS NC
NC7414054OtherAETNA
NC7414054OtherAETNA
NC2275974BMedicare ID - Type UnspecifiedMEDICARE
SCG994238538Medicare PIN