Bush, Karon

Bush, Karon is an sole proprietor health care provider with primary practice located at 12013 Randall Woods Dr , Midland GA 31820-4544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bush, Karon can be contacted via phone (706) 566-7726.

Contact Information

Primary practice address
12013 Randall Woods Dr Midland GA 31820-4544
Phone: (706) 566-7726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R060034 Georgia

Profile Details

NPI number 1649752502
LBN Legal business name Bush, Karon
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2018
Last updated Sep 6th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649752502 NPPES
Georgia MEDICAID 00837801A

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