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Individual

KRISTEN N BUSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1336 HIGHWAY 54 W BLDG 500, FAYETTEVILLE, GA 30214-4574
(770) 461-1238
(770) 460-6610
Mailing address
1336 HIGHWAY 54 W BLDG 500, FAYETTEVILLE, GA 30214-4574
(770) 461-1238
(770) 460-6610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004535
GA

Other

Enumeration date
01/23/2006
Last updated
08/31/2020
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