Individual
MR. WILLIAM RAY BURFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
BRISTOL REGIONAL MEDICAL CENTER, DEPT OF CLINICAL EDUCATION, BRISTOL, TN 37620
(423) 844-3965
Mailing address
1205 N EASTMAN ROAD, SUITE J #287, KINGSPORT, TN 37664
(423) 341-4522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019002993
VA
225700000X
Massage Therapist
Primary
MT1682
TN
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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