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Individual

DR. MICKY L BUSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
317 W GAINES ST, LAWRENCEBURG, TN 38464-3604
(931) 762-9665
(931) 766-0767
Mailing address
317 W GAINES ST, LAWRENCEBURG, TN 38464-3604
(931) 762-9665
(931) 766-0767

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11256
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3180810
TN
Enumeration date
11/09/2005
Last updated
01/04/2010
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