Individual provider · Type 1 NPI

Lisa C. Bushardt, MD

Family Medicine Physician · Hattiesburg, MS

NPI number 1669488979 Active

Practice location

105 Thornhill Dr
Hattiesburg, MS 39402-1548

Fax (601) 261-3899

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X12307 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1669488979

Lisa C. Bushardt, MD's National Provider Identifier is 1669488979, issued on Jul 31, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 8, 2020.