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1619380250
KELLY OTISHA BUSH
SMYRNA, GA
NPI
1619380250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN148840)
Enumeration Date
2014-06-10
Last Update Date
2014-06-10
Business Address
Ms. KELLY OTISHA BUSH NP
3240 S COBB DR SE
SMYRNA, GA 30080-4194
Phone number: 770-433-3477
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Mailing Address
Ms. KELLY OTISHA BUSH NP
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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