Individual
BLAIR HENDRIX BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1520 SUNDAY DR STE 309, RALEIGH, NC 27607-5254
(919) 354-7077
(919) 354-7075
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 620-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06235
NC
363AM0700X
Medical Physician Assistant
Primary
0010-06235
NC
Other
Enumeration date
02/26/2016
Last updated
10/12/2023
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