Individual
COLLEEN MEGAN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 288-9275
Mailing address
501 BILLINGSLEY RD, CHARLOTTE, NC 28211-1009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-02540
NC
2084P0800X
Psychiatry Physician
0101264545
VA
2084P0800X
Psychiatry Physician
Primary
2018-02540
NC
2084P0800X
Psychiatry Physician
28183
WV
2084P0800X
Psychiatry Physician
87092
GA
Other
Enumeration date
05/28/2013
Last updated
03/16/2025
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