Individual provider · Type 1 NPI

Carson Busby Dula, AGACNP

Gerontology Nurse Practitioner · Columbia, SC

NPI number 1154962173 Active

Practice location

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896

Fax (803) 434-3955

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • 170 Amendment Ave, Rock Hill, SC 29732-3073 · (803) 324-7607

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician 207RG0100X23223 (SC)
Hospitalist Physician 208M00000X28223 (SC)
Gerontology Nurse Practitioner Primary 363LG0600X28223 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1154962173

Carson Busby Dula, AGACNP's National Provider Identifier is 1154962173, issued on Oct 1, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, SC. The record was last updated on Apr 26, 2022.