person
Lisa C Bushardt, MD
Family Medicine Physician in Hattiesburg, Mississippi
NPI 1669488979

Lisa C Bushardt is a Family Medicine Physician based in Hattiesburg, MS. Lisa C Bushardt practices in Hattiesburg, MS and has the professional credentials of MD. The NPI Number for Lisa C Bushardt is 1669488979 and holds a License No. 12307 (Mississippi).

The current practice location address for Lisa C Bushardt is 105 Thornhill Dr, Hattiesburg, MS and can be reached out via phone at 601-261-3737 and via fax at 601-261-3899.

Location: 105 Thornhill Dr, Hattiesburg, MS, 39401-7246
person
Provider Profile Details
NPI Number
1669488979
Provider Name
Lisa C Bushardt
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
105 Thornhill Dr, Hattiesburg, MS, 39401-7246
Phone Number
601-261-3737
Fax Number
601-261-3899
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00012749 05 MS
110028735 01 RAILROAD MEDICARE
1558923 01 MS AMERICAN ADMIN GROUP
1419877 05 LA
institution
Provider Business Practice Location Address Details
Address
105 Thornhill Dr
City
State
Zip
39402-1548
Phone Number
601-261-3737
Fax Number
601-261-3899
person
Provider Business Mailing Address Details
Address
105 Thornhill Dr
City
State
Zip
39402-1548
Phone Number
601-261-3737
Fax Number
601-261-3899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
12307 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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