Individual
CAROL G BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7545 MAIN ST, WOODSTOCK, GA 30188-1615
(770) 928-0133
(770) 928-1663
Mailing address
7545 MAIN ST, WOODSTOCK, GA 30188-1615
(770) 928-0133
(770) 928-1663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN138310
GA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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