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Individual

DR. WILLIAM GARNER BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 RIVER OAKS DR, SUITE 410, JACKSON, MS 39232-9500
(601) 664-0111
(601) 932-1308
Mailing address
1020 RIVER OAKS DR, SUITE 410, JACKSON, MS 39232-9500
(601) 664-0111
(601) 932-1308

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11010
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00121297
MS
01
11010
STATE MEDICAL LICENSURE
MS
Enumeration date
09/19/2006
Last updated
03/07/2023
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