Individual
RICHARD BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1111 GLYNCO PKWY STE 300, BRUNSWICK, GA 31525-7933
(912) 262-6552
Mailing address
1111 GLYNCO PKWY STE 300, BRUNSWICK, GA 31525-7933
(912) 262-6552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7565
GA
Other
Enumeration date
05/11/2015
Last updated
03/11/2025
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