person
Laura P Bush, PA
Medical Physician Assistant in Fayetteville, Georgia
NPI 1174565022

Laura P Bush is a Medical Physician Assistant based in Fayetteville, GA and is specialized in Medical. Laura P Bush practices in Fayetteville, GA and has the professional credentials of PA. The NPI Number for Laura P Bush is 1174565022 and holds a License No. 36378 (Georgia).

The current practice location address for Laura P Bush is 450 Lanier Ave West, Fayetteville, GA and can be reached out via phone at 770-460-8988 and via fax at 770-460-0727. You can also correspond with Laura P Bush through the mailing address at 450 LANIER AVE WEST, FAYETTEVILLE, GA - 30214 (mailing address contact number: 770-460-8988).

Location: 450 Lanier Ave West, Fayetteville, GA, 30214
person
Provider Profile Details
NPI Number
1174565022
Provider Name
Laura P Bush
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
450 Lanier Ave West, Fayetteville, GA, 30214
Phone Number
770-460-8988
Fax Number
770-460-0727
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
450 Lanier Ave West
City
State
Zip
30214
Phone Number
770-460-8988
Fax Number
770-460-0727
person
Provider Business Mailing Address Details
Address
450 Lanier Ave West
City
State
Zip
30214
Phone Number
770-460-8988
Fax Number
770-460-0727
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
36378 (Georgia)
Definition
Definition to come...
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