Individual
MR. JOHN RYAN BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(855) 743-2247
Mailing address
477 NORTHMINSTER DR, MACON, GA 31204-1303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019965
NC
Other
Enumeration date
10/24/2023
Last updated
06/20/2024
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