Individual
DR. DWANA M BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
755 MOUNT VERNON HWY NE, SUITE 350, ATLANTA, GA 30328-4274
(404) 255-5774
(404) 255-5994
Mailing address
755 MOUNT VERNON HWY NE, SUITE 350, ATLANTA, GA 30328-4274
(404) 255-5774
(404) 255-5994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024784
GA
Other
Enumeration date
08/30/2006
Last updated
08/14/2012
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