Individual
AINSLEY BUSHA FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4253 SALISBURY RD, JACKSONVILLE, FL 32216-6121
(043) 994-0049
Mailing address
412 KITTREDGE CT, KNOXVILLE, TN 37934-2430
(865) 898-7925
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
077479
GA
208600000X
Surgery Physician
48572
TN
208600000X
Surgery Physician
Primary
ME110350
FL
Other
Enumeration date
01/03/2007
Last updated
06/16/2023
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