Most Relevant Information
Provider Data
| NPI Number: | 1003497249 |
| Provider Name: | BRENDAN LUSHBOUGH DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 94512 |
Most Important Dates
| Enumeration Date: | 04/19/2021 |
| Last Updated: | 07/16/2024 |
Provider Practice Location
6600 VAN AALST BLVD
FORT BENNING
GA
319052102
Practice Location Phone/Fax
| Phone: | 7624082532 |
| Fax: |
Provider Mailing Location
6600 VAN AALST BLVD
FORT BENNING
GA
319052102
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR