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1750387460

NPI Code Detail

MEDICARE: DR. ANNE HEARN BUSSIAN M.D.

MEDICARE: DR. ANNE HEARN BUSSIAN M.D.

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
1	207ZD0900X	Dermatopathology (Pathology) Physician	20116	AL
2	207ZD0900X	Dermatopathology (Pathology) Physician	200300126	NC
3	207ZD0900X	Dermatopathology (Pathology) Physician	ME87844	FL
4	207ZD0900X	Dermatopathology (Pathology) Physician	15720R	LA
5	207ZD0900X	Dermatopathology (Pathology) Physician	056804	GA
6	207ZD0900X	Dermatopathology (Pathology) Physician	M5081	TX
7	207ZD0900X	Dermatopathology (Pathology) Physician	42017	TN
8	207ZD0900X	Dermatopathology (Pathology) Physician	D0066829	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750387460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE HEARN BUSSIAN M.D.

Provider Business Mailing Address
First Line	:	3550 INDEPENDENCE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5710
Country	:	US
Telephone Number	:	205-949-2806
Fax Number	:	205-949-2875

Provider Business Practice Location Address
First Line	:	3550 INDEPENDENCE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5710
Country	:	US
Telephone Number	:	205-949-2806
Fax Number	:	205-949-2875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	10/24/2008

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Directions to “ DR. ANNE HEARN BUSSIAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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