Individual
TYRISA BURDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
351 THORNTON RD STE 118, LITHIA SPRINGS, GA 30122-1589
(865) 455-8410
Mailing address
351 THORNTON RD STE 118, LITHIA SPRINGS, GA 30122-1589
(865) 455-8410
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO131275
GA
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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