Individual
MS. KELLY OTISHA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3240 S COBB DR SE, SMYRNA, GA 30080-4194
(770) 433-3477
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN148840
GA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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