Individual
JOEL G BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2147 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-6663
(931) 245-8300
(931) 245-8360
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-8300
(931) 245-8360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156881
—
TN
Enumeration date
11/08/2005
Last updated
07/08/2007
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