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Individual
CARSON BUSBY DULA
Active
Individual
CARSON BUSBY DULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
23223
SC
208M00000X
Hospitalist Physician
28223
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
28223
SC
Other
Enumeration date
10/01/2019
Last updated
04/26/2022
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