Individual
DR. NITASHA LARISMA BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3890 REDWINE RD SW, SUITE 104, ATLANTA, GA 30331-5509
(404) 629-9495
(404) 629-9498
Mailing address
3885 PRINCETON LAKES WAY SW, SUITE 306, ATLANTA, GA 30331-5589
(404) 629-9495
(404) 629-9498
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
055931
GA
207Q00000X
Family Medicine Physician
Primary
055931
GA
Other
Enumeration date
05/12/2006
Last updated
08/28/2012
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