LAURA P BUSH

FAYETTEVILLE, GA
NPI1174565022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  36378)
Enumeration Date2006-06-12
Last Update Date2019-03-15
Business Address
LAURA P BUSH P.A.
450 LANIER AVE WEST
FAYETTEVILLE, GA 30214
Phone number: 770-460-8988
Mailing Address
LAURA P BUSH P.A.
450 LANIER AVE WEST
FAYETTEVILLE, GA 30214
Phone number: 770-460-8988