Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vickie Consuella71 Bush

Individual provider Diagnostic Radiology Physician · NPI 1912464702

Vickie Consuella71 Bush is a Diagnostic Radiology Physician in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3701 Bermuda Run Dr
Valdosta, GA 31605-1059
Phone: (229) 292-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 456669 (GA)

Record details

NPI number1912464702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2019
Last updated in NPPESFebruary 28, 2019

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