Individual
TINA K BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7655 POPLAR AVE, BLDG A, SUITE 155, GERMANTOWN, TN 38138-3957
(901) 752-2300
(901) 516-1391
Mailing address
PO BOX 1000, DEPT # 978, MEMPHIS, TN 38148-0001
(901) 516-0881
(901) 516-0528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10707
MS
207Q00000X
Family Medicine Physician
Primary
16158
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2660497
CIGNA
TN
01
—
4041152
AETNA
TN
01
—
4344868
BCBS
TN
Enumeration date
08/26/2005
Last updated
05/10/2013
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