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Individual

JEFFREY A BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5003 HARDY ST STE 401, HATTIESBURG, MS 39402-1331
(601) 296-2100
(601) 296-2106
Mailing address
5003 HARDY ST STE 401, HATTIESBURG, MS 39402-1331
(601) 296-2100
(601) 296-2106

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19139
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00175800
MS
05
1418188
LA
01
3495672
AMERICAN ADMIN GROUP
MS
01
P00308316
RAILROAD MEDICARE
MS
Enumeration date
06/21/2005
Last updated
01/12/2010
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