Individual
ANTWAUN BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 W VALLEY AVE STE 225, BIRMINGHAM, AL 35209-3691
(205) 919-3900
Mailing address
181 W VALLEY AVE STE 225, BIRMINGHAM, AL 35209-3691
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
775
AL
Other
Enumeration date
01/29/2018
Last updated
04/26/2018
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