George R Bush MD

NPI 1093740920 - Family Medicine - 207Q00000X

NPI Details
NPI 1093740920
Gender Male
Enumeration Date 07/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
307 S 13TH AVENUE
LAUREL MS, 39440, US
Phone (601) 649-7600
Fax (601) 649-7628
Business Location
307 S 13TH AVENUE
LAUREL MS, 39440, US
Phone (601) 649-7600
Fax (601) 649-7628
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 7631
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According to our database, Dr. George R Bush MD NPI is 1093740920, taxonomy code is 207Q00000X and license number is 7631, license state is located at Mississippi. George R Bush MD physically located at 307 S 13th Avenue, Laurel MS, 39440. NPI Number George R Bush MD has the Individual type.

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1093740920 NPI number is provided on an as is basis without warranty of any kind. 1093740920 is maintained by the National Plan & Provider Enumeration System. The contents of George R Bush MD are for informational purposes only.