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Individual

JOHN BRUESHABER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
3320 OLD JEFFERSON RD, BLDG 700, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-4352
Mailing address
3320 OLD JEFFERSON RD, BLDG 700, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-4352

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN204034
GA

Other

Enumeration date
04/23/2014
Last updated
09/21/2015
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