Individual
TAYLOR LANE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6400
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11266
GA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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