Individual
JOSHUA MICHAEL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
685 BRAIDWOOD TER NW, ACWORTH, GA 30101-3513
(678) 918-0104
Mailing address
685 BRAIDWOOD TER NW, ACWORTH, GA 30101-3513
(678) 918-0104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002998
GA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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