Organization
UNIQUE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN R BURFORD DC (PRESIDENT)
(901) 853-1734
Entity
Organization
Contact information
Practice address
346 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3741
(901) 853-1734
Mailing address
346 NEW BYHALIA RD, COLLIERVILLE, TN 38017-3741
(901) 853-1734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13580
TN
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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