Individual
HAYDEN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 PERRY PKWY APT J1, PERRY, GA 31069-9290
(540) 808-5481
Mailing address
395 PERRY PKWY APT J1, PERRY, GA 31069-9290
(540) 808-5481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003502
GA
Other
Enumeration date
12/15/2021
Last updated
12/20/2021
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