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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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