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Individual

ELIZABETH ROSE BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1469 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(762) 375-2541
Mailing address
103 DOGWOOD PL, WOODSTOCK, GA 30188-4909
(678) 458-3427

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
GA

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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