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NPI Code Detail

MEDICARE: MR. FRANK J. BUSBEY L.P.C.

MEDICARE: MR. FRANK J. BUSBEY L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC005513GA

General Provider Information

NPI Number : 1013071356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANK J. BUSBEY L.P.C.
Provider Business Mailing Address
First Line : 723 SWEET GUM WAY
Second Line :
City : CANTON
State : GA
Zip : 30115-8528
Country : US
Telephone Number : 770-704-1600
Fax Number : 770-704-1610
Provider Business Practice Location Address
First Line : 191 LAMAR HALEY PKWY
Second Line :
City : CANTON
State : GA
Zip : 30114-8019
Country : US
Telephone Number : 770-704-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 12/29/2015

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