Individual
LISA M BUSCHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1805 TIFT AVE N STE D, TIFTON, GA 31794-3579
(229) 382-5554
(229) 382-0530
Mailing address
1805 TIFT AVE N STE D, TIFTON, GA 31794-3579
(229) 382-5554
(229) 382-0530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12209
GA
363AM0700X
Medical Physician Assistant
PA1673
ME
Other
Enumeration date
10/27/2016
Last updated
06/13/2024
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