Individual
GEORGE TIMOTHY BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9601 LILE DR, SUITE 310, LITTLE ROCK, AR 72205-6321
(501) 224-0200
(501) 224-2292
Mailing address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
(501) 224-0200
(501) 224-2292
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E2467
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140817001
—
AR
01
—
19101000004
QUALCHOICE
AR
01
—
439162
HEALTHLINK
AR
01
—
7965156
AETNA
AR
Enumeration date
06/21/2006
Last updated
05/22/2008
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