Vickie Consuella71 Bush

NPI #1912464702 in Valdosta, Georgia

Provider Information

NPI Number: 1912464702
Entity Type: Individual
Name: Vickie Consuella71 Bush
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: Feb 27, 2019
Last Updated: Feb 28, 2019

Practice Location

Address: 3701 BERMUDA RUN DR
City: Valdosta
State: Georgia
ZIP Code: 31605-1059
Phone: (229) 292-0021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
In Home Supportive Care	253Z00000X	Primary

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Individual Providers

Provider Name	Specialty	City
Kimberly Gatlin	In Home Supportive Care	Valdosta	AI Deep Dive
Latonya Berry	In Home Supportive Care	Valdosta	AI Deep Dive
Brynetria Hughley	In Home Supportive Care	Valdosta	AI Deep Dive

Organizations

Provider Name	Specialty	City
Coastal Home Care, LLC	In Home Supportive Care	Valdosta	AI Deep Dive
Spectrum Family Care LLC	In Home Supportive Care	Valdosta	AI Deep Dive

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