Individual
DR. RANDEL PHILLIP BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 778-8168
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 778-8168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD5824
TN
208600000X
Surgery Physician
Primary
MD5824
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00134879A
—
GA
05
—
009934250
—
AL
01
—
010061950
RR MEDICARE
—
01
—
1740066
UHC
—
01
—
2001212
BCBS OF TN
—
05
—
3155570
—
TN
01
—
62165877415
JDH
—
Enumeration date
09/08/2005
Last updated
02/02/2017
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