Individual
DR. CHAD A. BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
919 US HIGHWAY 19 S, LEESBURG, GA 31763-4880
(229) 888-3550
(229) 317-3569
Mailing address
919 US HIGHWAY 19 S, P.O. BOX 681, LEESBURG, GA 31763-4880
(229) 888-3550
(229) 317-3569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011237
GA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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