Individual
DR. GARY EDWARD BUSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VA MEDICAL CENTER, MOUNTAIN HOME, SIDNEY AND LAMONT ST, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-2829
Mailing address
PO BOX 8500, PINEHURST, NC 28374-8500
(910) 715-1010
(910) 715-1926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-00086
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
17658
TN
Other
Enumeration date
04/19/2006
Last updated
10/19/2015
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