Individual provider · NPI-1
Austin James Bush, MD
Family Medicine · Concord, NC
NPI number1548765290
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1548765290
- Entity type
- Individual (NPI-1)
- Name
- Austin James Bush
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2018
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2021-00866 | NC | Yes |
Practice location
270 Copperfield Blvd NeSte 102
Concord, NC 28025-2441
Phone 704-786-6521
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
8560 Cook St
Mount Pleasant, NC 28124-7686
Mount Pleasant, NC 28124-7686
Phone 704-436-6521
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