Individual
LYNNELL MAURICE BUSHROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8735 DUNWOODY PL STE 4306, ATLANTA, GA 30350-2995
(678) 973-8379
Mailing address
8735 DUNWOODY PL STE 4306, ATLANTA, GA 30350-2995
(678) 973-8379
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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