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Carol G Busby

Nurse Practitioner, Family in Woodstock, GA. Individual provider (NPI-1).

NPI number1497020465
StatusActive
Last updated in NPPESMar 9, 2012

Details

NPI
1497020465
Entity type
Individual (NPI-1)
Name
Carol G Busby
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2012
Last updated
Mar 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN138310GAYes

Practice location

7545 Main St
Woodstock, GA 30188-1615

Phone 770-928-0133 · Fax 770-928-1663

Mailing address

7545 Main St
Woodstock, GA 30188-1615

Phone 770-928-0133 · Fax 770-928-1663

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