William Brent Bush MD

NPI 1043310337 - Internal Medicine - 207R00000X

NPI Details
NPI 1043310337
Gender Male
Enumeration Date 09/25/2006
Last Updated 10/29/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
482 INTERSTATE DR
SUITE A
MANCHESTER TN, 37355-3109, US
Phone (931) 728-4718
Fax (931) 728-1016
Business Location
482 INTERSTATE DR
SUITE A
MANCHESTER TN, 37355-3109, US
Phone (931) 728-4718
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 31181
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According to our database, William Brent Bush MD NPI is 1043310337, taxonomy code is 207R00000X and license number is 31181, license state is located at Tennessee. William Brent Bush MD physically located at 482 Interstate Dr, Manchester TN, 37355-3109. NPI Number William Brent Bush MD has the Individual type.

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1043310337 NPI number is provided on an as is basis without warranty of any kind. 1043310337 is maintained by the National Plan & Provider Enumeration System. The contents of William Brent Bush MD are for informational purposes only.