Individual
TYSON A HULSEBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 737-9250
(706) 733-0697
Mailing address
PO BOX 204097, AUGUSTA, GA 30917-4097
(706) 855-9860
(706) 860-7124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN176540
GA
Other
Enumeration date
12/20/2010
Last updated
12/08/2022
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