Individual
CATHERINE GRACE BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 OWENS LN, BARNESVILLE, GA 30204-1438
(770) 358-8507
Mailing address
101 OWENS LN, BARNESVILLE, GA 30204-1438
(770) 358-8507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN094736
GA
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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