Individual
JEFFREY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
2341 MCCALLIE AVE, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
171605
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
0000026641
TN
Other
Enumeration date
09/13/2019
Last updated
11/11/2019
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