Individual
DR. RICHARD TYLER BURGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 FRIENDSHIP RD, BRASELTON, GA 30517-5608
(770) 535-9391
(770) 533-4701
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74713
GA
2085R0202X
Diagnostic Radiology Physician
ME139284
FL
Other
Enumeration date
04/14/2014
Last updated
06/15/2022
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