LISA C BUSHARDT

HATTIESBURG, MS
NPI1669488979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  12307)
Enumeration Date2006-07-31
Last Update Date2020-07-08
Business Address
LISA C BUSHARDT MD
105 THORNHILL DR
HATTIESBURG, MS 39402-1548
Phone number: 601-261-3737
Mailing Address
LISA C BUSHARDT MD
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3737
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