Individual provider · Type 1 NPI

Laura P. Bush, P.A.

Medical Physician Assistant · Fayetteville, GA

NPI number 1174565022 Active

About NPI 1174565022

Laura P. Bush, P.A.'s National Provider Identifier is 1174565022, issued on Jun 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 15, 2019.