Organization
SUMTER FAMILY MEDICINE & SPORTS MEDICINE CENTER, P.C.
Active
Organization
SUMTER FAMILY MEDICINE & SPORTS MEDICINE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHANE BUSMAN M.D. (M.D.)
(229) 924-2383
Entity
Organization
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
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
040628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000720893D
—
GA
Enumeration date
07/01/2008
Last updated
07/01/2008
Update your record
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