Individual
DR. JERRY WALTER BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
686 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 337-6995
(770) 233-6229
Mailing address
686 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 337-6995
(770) 233-6229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11435
AL
207R00000X
Internal Medicine Physician
Primary
46373
GA
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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