Forrest Kenton Busch, D.o. P.c.

NPI #1740483692 in Dyersburg, Tennessee

Provider Information

NPI Number: 1740483692
Entity Type: Organization
Organization Name: Forrest Kenton Busch, D.o. P.c.
Primary Specialty: Dermatology
Enumeration Date: Jun 7, 2007
Last Updated: Sep 10, 2015

Practice Location

Address: 1950 COOK ST
City: Dyersburg
State: Tennessee
ZIP Code: 38024
Phone: (731) 286-4300

Authorized Official

Name: MRS. DENISE ANN HORNER
Title: OFFICE MANAGER
Phone: (731) 286-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Allergy & Immunology	207K00000X
Dermatology	207N00000X	Primary

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