Individual
CARRIE MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 405, CHARLESTON, WV 25302-3302
(304) 388-2980
(304) 388-2981
Mailing address
830 PENNSYLVANIA AVE, SUITE 405, CHARLESTON, WV 25302-3302
(304) 388-2980
(304) 388-2981
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26935
WV
Other
Enumeration date
06/25/2008
Last updated
11/03/2016
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