# JEFF W BUSH, M.D,, FAMILY PRACTICE LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295040582
- **Authorized official:** DR. JEFF W BUSH M.D. (OWNER)
- **Authorized official phone:** (334) 687-3836

## Contact information

- **Practice address:** 617 E BROAD ST, STE A, EUFAULA, AL 36027-1710
- **Practice address phone:** (334) 687-3836
- **Practice address fax:** (334) 687-0725
- **Mailing address:** 617 E BROAD ST, STE A, EUFAULA, AL 36027-1710
- **Mailing address phone:** (334) 687-3836
- **Mailing address fax:** (334) 687-0725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19771 | AL | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 08/11/2010