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Individual
MS. VALENCIA R BURRUSS
Active
Individual
MS. VALENCIA R BURRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000752386D
—
GA
01
—
010606457
TRICARE
GA
Enumeration date
06/18/2006
Last updated
09/13/2024
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