Individual
MRS. ELLEN SHEA BURCH-BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4712 BERRY BLVD, MONTGOMERY, AL 36106-3080
(334) 834-3094
(334) 263-0598
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-593
AL
Other
Enumeration date
09/18/2008
Last updated
11/09/2010
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