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Individual

MR. SANTONE BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9211 PEACHFORD CIR, ATLANTA, GA 30338-6571
(678) 346-8265
Mailing address
9211 PEACHFORD CIR, ATLANTA, GA 30338-6571
(678) 346-8265

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN253006
GA

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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