Individual
DR. MICHAEL SHANE BUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
922 E JEFFERSON ST, SUITE B, AMERICUS, GA 31709-4780
(229) 924-2383
(229) 924-0684
Mailing address
PO BOX 6815, AMERICUS, GA 31709-6815
(229) 924-2383
(229) 924-0684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000720893D
—
GA
01
—
771452
BLUE CROSS BLUE SHEILD
GA
Enumeration date
02/01/2006
Last updated
12/23/2014
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