Individual
DR. SYLVIA BURSON RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
014534
LA
207RC0000X
Cardiovascular Disease Physician
Primary
017394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060016521
MEDICARE RAILROAD
LA
05
—
127015
—
AL
05
—
1378992
—
LA
Enumeration date
07/21/2005
Last updated
06/01/2011
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