LAURA P BUSH


Address: 450 Lanier Ave West, Fayetteville, GA 30214
Phone: 7704608988

LAURA P BUSH (NPI# 1174565022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174565022
Entity Type Individual
Full Name LAURA P BUSH
Credential P.A.
Practice Address 450 Lanier Ave West
Fayetteville
GA 30214
Practice Telephone 7704608988
Practice Fax Number 7704600727
Mailing Telephone 7704608988
Mailing Fax Number 7704600727
Enumeration Date 2006-06-12
Last Update Date 2019-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
36378 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LAURA BUSH

NPI Name Taxonomy Address Enumeration
1982040721 Laura Bush Case Manager/Care Coordinator 7 Prospect St, Nashua, NH 03060-3921 2013-05-20
1457627473 Laura Bush Counselor 237 E 6th St, Russellville, KY 42276-1917 2012-03-23
1548541550 Laura Christina Bush Nurse Practitioner 7317 Central Ave Ne, Albuquerque, NM 87108-2015 2011-09-02

Office Location

Street Address 450 LANIER AVE WEST
City FAYETTEVILLE
State GA
Zip Code 30214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952385296 Joan S Sanders Physician Assistant 450 Lanier Ave West, Fayetteville, GA 30214 2005-11-30
1275087371 Christina Sandwich Physician Assistant 450 Lanier Ave West, Fayetteville, GA 30214 2016-08-08
1174789507 Michael Brian Zaycosky Dermatology 450 Lanier Ave West, Fayetteville, GA 30214 2008-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245860618 Robert Maughan Physician Assistant 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 2020-01-24
1578050480 Marlee Anne Fallon Physician Assistant 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 2018-04-16
1285149781 Rebecca Anderson Physician Assistant 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 2017-12-06
1750807186 Julia Niemi Physician Assistant 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 2017-08-17
1548709991 Pallavi Annamaneni Physician Assistant 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 2017-02-17
1124457650 Amanda Warden Physician Assistant 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 2013-11-05
1639473739 Andrea Bethauser Physician Assistant 918 Hope Mills Rd, Fayetteville, NC 28304-4243 2011-01-04
1891928941 Gladys Maria Rivero Physician Assistant 3450 Sandystone Cir, Fayetteville, NC 28311-2503 2009-08-24
1366524092 Lisa Aldrin Rojeski Physician Assistant 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 2006-10-20
1902829039 Michael John Winn Physician Assistant 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 2006-07-26
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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