Steven Bush
Contractor, Home Modifications in Roswell, GA. Individual provider (NPI-1).
NPI number1750177101
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1750177101
- Entity type
- Individual (NPI-1)
- Name
- Steven Bush
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2025
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WH0202X | Contractor, Home Modifications | – | – | Yes |
Practice location
4651 Woodstock Rd Ste 208-278Roswell, GA 30075-1698
Phone 770-637-9757
Mailing address
844 Morningcreek Dr NwKennesaw, GA 30152-2813
Phone 678-614-4565
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