Individual
HARRIET MCNEIL-BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1636 CONNALLY DR, EAST POINT, GA 30344-2558
(404) 762-4042
Mailing address
3661 TREE BARK TRL, DECATUR, GA 30034-2145
(404) 762-4042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
070462
GA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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