Individual
JOHN WILLIAM BURDESHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3916 VALLEY RD, COLUMBUS, GA 31907-5657
(706) 593-3497
Mailing address
3916 VALLEY RD, COLUMBUS, GA 31907-5657
(706) 593-3497
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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