Individual
AVIS BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
SC HOUSE CALLS CIR., 111 DOCTOR CIR., COLUMBIA, SC 29203
(800) 491-0909
Mailing address
SC HOUSE CALLS CIR., 111 DOCTOR CIR., COLUMBIA, SC 29203
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
106112
SC
363L00000X
Nurse Practitioner
Primary
30619
SC
Other
Enumeration date
06/18/2025
Last updated
08/08/2025
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