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Individual

FLEMING BURROUGHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
715 N LEE ST, AMERICUS, GA 31719
(229) 928-0545
(229) 928-2567
Mailing address
715 N LEE ST, POB 1717, AMERICUS, GA 31719
(229) 924-2149
(229) 928-2567

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020968
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00234649B
GA
Enumeration date
11/28/2006
Last updated
01/24/2012
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