# CARSON BUSBY DULA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154962173
- **Gender:** F
- **Credential:** AGACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 23223 | SC | — |
| 208M00000X | Hospitalist Physician | 28223 | SC | — |
| 363LG0600X | Gerontology Nurse Practitioner | 28223 | SC | Yes |

## Other

- **Enumeration date:** 10/01/2019
- **Last updated:** 04/26/2022