Provider Demographics
NPI:1174051387
Name:BUSCH, ANTHONY ROBERT (PA-C)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ROBERT
Last Name:BUSCH
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:550 PEACHTREE STREET, EMORY CENTER FOR CRITICAL CARE
Mailing Address - Street 2:DAVIS FISCHER BUILDING, OFFICE 3245A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 WHITCHER ST NE STE 130
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1156
Practice Address - Country:US
Practice Address - Phone:770-428-0462
Practice Address - Fax:770-427-8001
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2020-05-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant