Individual
SCOTT BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
Mailing address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008726
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/05/2022
Last updated
01/26/2023
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