Provider Demographics
NPI:1417003591
Name:BUSBY, JULIAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:G
Last Name:BUSBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 N ELM ST
Mailing Address - Street 2:CAROLINA WOMANCARE P.A.
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3918
Mailing Address - Country:US
Mailing Address - Phone:336-889-5422
Mailing Address - Fax:336-889-3202
Practice Address - Street 1:712 N ELM ST
Practice Address - Street 2:CAROLINA WOMANCARE P.A.
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3918
Practice Address - Country:US
Practice Address - Phone:336-889-5422
Practice Address - Fax:336-889-3202
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20528207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC20360OtherBCBS
NC8920360Medicaid
2308919Medicare ID - Type Unspecified
NC8920360Medicaid