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Individual

DR. JEANA SUZANNE BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
304 MARGIE DR, WARNER ROBINS, GA 31088-7817
(478) 333-2965
(478) 278-8312
Mailing address
6701 BAUM DR, SUITE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
73717
GA
207K00000X
Allergy & Immunology Physician
RTP 006134
GA
208000000X
Pediatrics Physician
157439
NC

Other

Enumeration date
05/06/2009
Last updated
07/06/2015
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