Individual
LUSHUNDA M HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1008 ATLANTA HWY, WARRENTON, GA 30828-9109
(706) 465-3253
(478) 864-2244
Mailing address
PO BOX 371, WRIGHTSVILLE, GA 31096-0371
(478) 864-3448
(478) 864-2244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4402
LICENSE
GA
Enumeration date
09/20/2006
Last updated
03/07/2023
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