Individual
GEORGE LEWIS BURRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 HUMPHREYS CTR STE 100, MEMPHIS, TN 38120-2352
(901) 761-9030
(901) 473-6505
Mailing address
80 HUMPHREYS CTR STE 100, MEMPHIS, TN 38120-2352
(901) 761-9030
(901) 473-6505
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
10817
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0145960
BLUECROSS BLUESHIELD TN
TN
01
—
4064444
AETNA
TN
Enumeration date
07/27/2006
Last updated
05/21/2008
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