Bush, Jerry Walter
Bush, Jerry Walter is an sole proprietor health care provider with primary practice located at 686 S 8Th St , Griffin GA 30224-4214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bush, Jerry Walter can be contacted via phone (770) 337-6995.Contact Information
Primary practice address
686 S 8Th St
Griffin GA 30224-4214
Phone: (770) 337-6995
Fax: (770) 233-6229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11435 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46373 | Georgia |
Profile Details
| NPI number | 1952424848 |
|---|---|
| LBN Legal business name | Bush, Jerry Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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