Individual
C. SHANE BUSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
(770) 297-5010
Mailing address
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501-3862
(770) 536-9864
(770) 297-5010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55813
GA
Other
Enumeration date
05/23/2005
Last updated
04/15/2010
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