Individual
NADINE K BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3438
(601) 847-2221
(601) 847-7104
Mailing address
1842 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3438
(601) 847-2221
(601) 847-7104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MS16456
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121967
—
MS
Enumeration date
03/19/2007
Last updated
07/08/2007
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