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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VICKIE CONSUELLA71 BUSH

Active Sole Proprietor

VICKIE CONSUELLA71 BUSH is a In Home Supportive Care Agency healthcare provider located in VALDOSTA, Georgia. NPI 1912464702 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · VALDOSTA, GA

Registration Details

NPI Number
1912464702
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2019 (7.4934586777039 yrs)
Last Updated
Feb 28, 2019
License
456669 (GA)
Sole Proprietor
Yes

Practice Information

Address
3701 BERMUDA RUN DR
VALDOSTA, GA, 316051059
Browse GA providers · Browse ZIP 31605
Phone
2292920021
Primary Specialty
In Home Supportive Care Agency
253Z00000X

Other In Home Supportive Care Agency Providers in VALDOSTA, GA

Name Credential NPI
BRYNETRIA HUGHLEY 1902482250
LATONYA BERRY 1871273615
KIMBERLY GATLIN 1235928185
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.