Individual
JANA B BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MITCHELL ST, PICAYUNE, MS 39466-4538
(601) 749-8145
(601) 749-8147
Mailing address
110 MITCHELL ST, PICAYUNE, MS 39466-4538
(601) 749-8145
(601) 749-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7011
MS
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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