Individual
SUZANNE YANCEY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 416-2418
(850) 416-2460
Mailing address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 416-2418
(850) 416-2460
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME51930
FL
207VG0400X
Gynecology Physician
ME51930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047127500
—
FL
01
—
0706930
UNITED HEALTHCARE
FL
01
—
09853
BCBSFL
FL
01
—
4276628
AETNA
FL
01
—
4695751002
CIGNA
FL
01
—
59082808
BCBS AL
FL
01
—
P00099337
MEDICARE RR
FL
01
—
Z259
HEALTH FIRST NETWORK
FL
Enumeration date
10/18/2005
Last updated
02/20/2019
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