Individual
NANCY BURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HILLVIEW CT, BRANDON, MS 39042-1950
(601) 824-1221
Mailing address
100 HILLVIEW CT, BRANDON, MS 39042-1950
(601) 824-1221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4792
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115946
—
MS
Enumeration date
11/02/2006
Last updated
07/08/2007
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