Individual
ANGELA BUSSEY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANGELA
Contact information
Practice address
109 W BUENA VISTA AVE, NORTH AUGUSTA, SC 29841-3832
(803) 270-8635
Mailing address
470 MADISON RD, NORTH AUGUSTA, SC 29841-9357
(803) 270-8635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
SC
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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