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Individual
BURGESS MURRAY MAULDIN
Active
Individual
BURGESS MURRAY MAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
063098
GA
208M00000X
Hospitalist Physician
Primary
35376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
11/03/2009
Last updated
11/17/2022
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