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Individual

RONALD EARL BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2561 HENDERSONVILLE RD, ARDEN, NC 28704-9577
(828) 684-0011
(828) 687-8986
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-6282
(828) 687-6285

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19911
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1165E
BCBS
NC
05
891165E
NC
Enumeration date
07/07/2005
Last updated
10/11/2007
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