Individual
DR. ANDREW PANCHENKO BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1139 CARTHAGE STREET, SUITE 101, SANFORD, NC 27330
(919) 774-1355
(919) 774-3395
Mailing address
PO BOX 3247, SANFORD, NC 27331-3247
(919) 774-1355
(919) 775-1644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9500524
NC
Other
Enumeration date
12/05/2006
Last updated
05/23/2023
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