Individual
IAN LADD BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
420 20TH ST N STE 2200, BIRMINGHAM, AL 35203-3261
(866) 949-0108
Mailing address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-094401
AL
Other
Enumeration date
03/28/2011
Last updated
09/23/2021
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