Individual
OLIVIA D BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 CLAIBORNE TRL, NEWNAN, GA 30263-6745
(404) 388-1017
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033544
GA
207R00000X
Internal Medicine Physician
TPME3832
FL
Other
Enumeration date
09/07/2006
Last updated
12/13/2024
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