Individual
GEARY DILLON BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 536-2323
(770) 536-4947
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
002382
GA
208600000X
Surgery Physician
Primary
66361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126782A
—
GA
05
—
003126782N
—
GA
01
—
01994631
AMERIGROUP
GA
Enumeration date
01/25/2008
Last updated
05/22/2024
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