Organization
JEFF W BUSH, M.D,, FAMILY PRACTICE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF W BUSH M.D. (OWNER)
(334) 687-3836
Entity
Organization
Contact information
Practice address
617 E BROAD ST, STE A, EUFAULA, AL 36027-1710
(334) 687-3836
(334) 687-0725
Mailing address
617 E BROAD ST, STE A, EUFAULA, AL 36027-1710
(334) 687-3836
(334) 687-0725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19771
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-98558
BCBS OF ALABAMA
AL
Enumeration date
08/11/2010
Last updated
08/11/2010
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