Individual
DR. JAMES GARLAND BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 NORDIN LN, RUSSELLVILLE, AR 72802-9006
(479) 970-5709
Mailing address
307 NORDIN LN, RUSSELLVILLE, AR 72802-9006
(479) 970-5709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C4094
AR
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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