Individual
BEVERLY OWENS BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1780 PEACHTREE PKWY, CUMMING, GA 30041-6834
(770) 772-1830
Mailing address
2948 SURREY LN, ATLANTA, GA 30341-4730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN289881
GA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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