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Individual

COURTNEY LYNN BUSHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 MARTIN POINT CT, ROSWELL, GA 30076-2830
(404) 407-0015
Mailing address
55 MARTIN POINT CT, ROSWELL, GA 30076-2830

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
GA
253Z00000X
In Home Supportive Care Agency
GA
374J00000X
Doula
Primary
GA

Other

Enumeration date
09/28/2017
Last updated
09/28/2017
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