Individual
CIERRA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1732 BETHEL RD APT 23A, BAINBRIDGE, GA 39817-7205
(229) 220-7694
Mailing address
1732 BETHEL RD APT 23A, BAINBRIDGE, GA 39817-7205
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
GA
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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