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Individual

BRANDY L BUSHATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
(706) 554-4435
Mailing address
104 SADDLECLUB WAY, GUYTON, GA 31312-7132
(740) 648-5219

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
03/29/2023
Last updated
03/29/2023
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